Individual provider Active NPI

Ivan Walks, M.D.

  • Psychiatry Physician
  • Silver Spring, MD
National Provider Identifier
1790198430
Registry record updated Apr 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
D77997 Issued in MD
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

Updated by the provider on Apr 24, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
MD32597DCMDPsychiatry Physician
D77997MDMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Health Resources Psychiatry CurrentSince Jan 10, 2021 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.

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.

Verify at the official NPI Registry.