Active NPI
Walter Bohdan Szpur, M.D.
- Legal Medicine
- Tarrytown, NY
National Provider Identifier
1821077702
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Legal Medicine
- License
- 154301
- Practice address
- 200 S Broadway
Tarrytown, NY 10591-4500 - Phone
- (914) 631-6563
- Fax
- (914) 631-5611
- NPI assigned
- Jan 10, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Legal Medicine | 173000000X | 154301 | NY | Primary |
Addresses
Primary practice location
200 S Broadway
Tarrytown, NY 10591-4500
Mailing address
200 S Broadway
Tarrytown, NY 10591-4500
Phone (914) 631-6563
Other identifiers 13
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1051313 | Other | NY | FIRST HEALTH |
| 154301 | Other | NY | HIP |
| 891337 | Other | NY | MVP |
| 00816986 | Medicaid | NY | |
| 7832 | Other | NY | COMMUNITY CHOICE |
| 03781 | Other | NY | GHI |
| 1440 | Other | NY | AFFINITY |
| 229634 | Other | NY | WORKERS COMPENSATION |
| 13853 | Other | NY | ATLANTIS |
| 38475 | Other | NY | CIGNA |
| P469249 | Other | NY | OXFORD |
| 559468 | Other | NY | AETNA |
| D3163 | Other | NY | HEALTHNET |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070312000356 | NY | Practitioner - Family Practice | 5799887816 | Practice locations: Tarrytown, NY |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Phelps Medical Services, PC | Past | Accepting new patients |
Interoperability endpoints
- cathyv@hiemail.healtheconnections.org
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.
-
- General Practice Physician
- Sleepy Hollow, NY
- NPI 1558693481
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136851200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1821077702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 S BROADWAY",
"city": "TARRYTOWN",
"state": "NY",
"postal_code": "105914500",
"telephone_number": "914-631-6563",
"fax_number": "914-631-5611"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 S BROADWAY",
"city": "TARRYTOWN",
"state": "NY",
"postal_code": "105914500",
"telephone_number": "914-631-6563",
"fax_number": "914-631-5611"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SZPUR",
"first_name": "WALTER",
"middle_name": "BOHDAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-10",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "173000000X",
"taxonomy_group": "",
"desc": "Legal Medicine",
"state": "NY",
"license": "154301",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH",
"identifier": "1051313",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIP",
"identifier": "154301",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MVP",
"identifier": "891337",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00816986",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMUNITY CHOICE",
"identifier": "7832",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "03781",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AFFINITY",
"identifier": "1440",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WORKERS COMPENSATION",
"identifier": "229634",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ATLANTIS",
"identifier": "13853",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "38475",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P469249",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "559468",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "D3163",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tarrytown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.