Active NPI
Ivan Walks, M.D.
- Psychiatry Physician
- Silver Spring, MD
National Provider Identifier
1790198430
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- D77997
- Practice address
- 8737 Colesville Rd Ste 310
Silver Spring, MD 20910-3921 - Phone
- (301) 583-5195
- Fax
- (202) 899-4222
- NPI assigned
- Jun 10, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | D77997 | MD | Primary |
| Psychiatry Physician | 2084P0800X | MD32597 | DC |
Addresses
Primary practice location
8737 Colesville Rd Ste 310
Silver Spring, MD 20910-3921
Mailing address
8737 Colesville Rd Ste 310
Silver Spring, MD 20910-3921
Phone (301) 583-5195
Other practice location 1
617 Rhode Island Ave NE
Washington, DC 20002-1299
Phone (202) 844-3150
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD32597 | DC | MD | Psychiatry Physician |
| D77997 | MD | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrated Health Resources | Psychiatry | Current | Accepting new patients |
Locations
617 Rhode Island Ave NE
Washington, DC 20002
Phone (202) 844-3150
8737 Colesville Rd
Ste 310
Silver Spring, MD 20910
Phone (301) 583-5195
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 and National Provider Directory roles.
-
- Psychiatry Physician
- Silver Spring, MD
- NPI 1932689353
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402358400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1556064000000",
"number": "1790198430",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8737 COLESVILLE RD STE 310",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209103921",
"telephone_number": "301-583-5195",
"fax_number": "202-899-4222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8737 COLESVILLE RD STE 310",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209103921",
"telephone_number": "301-583-5195",
"fax_number": "202-899-4222"
}
],
"practiceLocations": [
{
"address_1": "617 Rhode Island Ave NE",
"address_purpose": "LOCATION",
"city": "Washington",
"state": "DC",
"postal_code": "200021299",
"country_code": "US",
"telephone_number": "202-844-3150",
"fax_number": "202-899-4222",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WALKS",
"first_name": "IVAN",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-06-10",
"last_updated": "2019-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MD",
"license": "D77997",
"primary": true
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "DC",
"license": "MD32597",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Silver Spring, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.