NPIMap

Individual provider Active NPI

Spencer Devon Walker, M.D.

  • Family Medicine Physician
  • Littleton, CO
National Provider Identifier
1831150564
Registry record updated Mar 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
38891 Issued in CO
Practice address
7720 S Broadway Ste 350
Littleton, CO 80122-2634
Phone
(720) 528-3559
Fax
(720) 528-3559
NPI assigned
Mar 31, 2006
Last updated
Mar 29, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 38891 CO Primary

Addresses

Primary practice location

7720 S Broadway Ste 350
Littleton, CO 80122-2634

Mailing address

PO Box 9000
Pueblo, CO 81008-9000
Phone (719) 553-2200

Other practice location 1

3676 Parker Blvd
Pueblo, CO 81008-2212
Phone (719) 553-2201

Other identifiers 1

IdentifierTypeStateIssuer
51202069MedicaidCO

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050329001249 CO Practitioner - Family Practice 5890741128 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

7720 S Broadway
350 PRCN Grace Family
Centennial, CO 80122-2634
Phone (720) 528-3559

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
38891COMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Portercare Adventist Health System Current Accepting new patients
Portercare Adventist Health System CurrentSince May 1, 2021 Accepting new patients
Portercare Adventist Health System CurrentSince May 1, 2021 Accepting new patients
Ponderosa Family Physicians PC Family Medicine CurrentSince Jan 1, 2014 Accepting new patients
Portercare Adventist Health System Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

14991 E Hampden Ave
Ste 210
Aurora, CO 80014
Phone (303) 690-4891

7750 S Broadway
Ste 260
Littleton, CO 80122
Phone (303) 734-8650

7720 S Broadway
Ste 350
Littleton, CO 80122
Phone (720) 528-3559

Interoperability endpoints

  • Direct secure messaging: swalker2559262@adventhealth.direct-ci.com

Organizations & group practices 6

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616976000000",
    "number": "1831150564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9000",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810089000",
            "telephone_number": "719-553-2200",
            "fax_number": "719-553-2216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7720 S BROADWAY STE 350",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801222634",
            "telephone_number": "720-528-3559",
            "fax_number": "720-528-3559"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3676 Parker Blvd",
            "address_purpose": "LOCATION",
            "city": "Pueblo",
            "state": "CO",
            "postal_code": "810082212",
            "country_code": "US",
            "telephone_number": "719-553-2201",
            "fax_number": "719-553-2224",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALKER",
        "first_name": "SPENCER",
        "middle_name": "DEVON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-31",
        "last_updated": "2021-03-29",
        "certification_date": "2021-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "38891",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "51202069",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Littleton, CO

Sources for this page

Verify at the official NPI Registry.