Individual provider Active NPI

Walter J Rok, M.D.

  • Pediatric Adolescent Medicine Physician
  • Fall River, MA
National Provider Identifier
1780649467
Registry record updated Jun 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
License
50751 Issued in MA
Practice address
851 Middle St
Suite 1100
Fall River, MA 02721-1778
Phone
(508) 324-6800
Fax
(508) 674-5440
NPI assigned
Apr 18, 2006
Last updated
Jun 4, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Adolescent Medicine Physician 2080A0000X 50751 MA Primary

Addresses

Primary practice location

851 Middle St
Suite 1100
Fall River, MA 02721-1778

Mailing address

851 Middle St
Suite 1100
Fall River, MA 02721-1778
Phone (508) 324-6800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140805002785 MA Practitioner - Pediatric Medicine 3779736889 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
50751MAMDPediatric Adolescent Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Associates of Fall River, Inc CurrentSince Jan 1, 2014 Accepting new patients

Locations

851 Middle St
Fall River, MA 02721
Phone (508) 324-6800

851 Middle St
Ste 1100
Fall River, MA 02721
Phone (508) 324-6800

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1145318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338768000000",
    "number": "1780649467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "851 MIDDLE ST",
            "address_2": "SUITE 1100",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027211778",
            "telephone_number": "508-324-6800",
            "fax_number": "508-674-5440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "851 MIDDLE ST",
            "address_2": "SUITE 1100",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027211778",
            "telephone_number": "508-324-6800",
            "fax_number": "508-674-5440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROK",
        "first_name": "WALTER",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-18",
        "last_updated": "2012-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "MA",
            "license": "50751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fall River, MA

Sources for this page

Verify at the official NPI Registry.