Individual provider Active NPI

Harold S Walker, M.D.

  • Diagnostic Radiology Physician
  • Mesa, AZ
National Provider Identifier
1831188499
Registry record updated Feb 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
24034 Issued in AZ
Practice address
6424 E Broadway Rd Ste 101
Mesa, AZ 85206-1750
Phone
(480) 456-9000
NPI assigned
Oct 17, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 24034 AZ Primary

Addresses

Primary practice location

6424 E Broadway Rd Ste 101
Mesa, AZ 85206-1750

Mailing address

1201 S Alma School Rd
Suite 14000
Mesa, AZ 85210-2008
Phone (480) 545-8119

Other practice location 1

1201 S Alma School Rd
Suite 14000
Mesa, AZ 85210-2008
Phone (480) 545-8119

Other identifiers 1

IdentifierTypeStateIssuer
110841MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20040624000437 AZ Practitioner - Diagnostic Radiology 9133115348 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Utah School of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Banner Imaging Services LLCGroup PAC ID 1850724386, 122 clinicians

Practice addresses (Care Compare)

5601 W Eugie Ave
Suite 102
Glendale, AZ 85304-1256
Phone (480) 610-7400

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
24034AZMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Banner Imaging Services LLC Diagnostic Radiology Current Accepting new patients
Desert Open MRI LLC Past Accepting new patients
Paradise Valley Family Medicine, PC PastSince Jan 1, 2001 Accepting new patients
Desert Valley Radiology, PLC Diagnostic Radiology Past Accepting new patients

Locations

1828 E Florence Blvd
Ste 118
Casa Grande, AZ 85122
Phone (520) 381-9729

5605 W Eugie Ave
Ste 110
Glendale, AZ 85304
Phone (602) 938-2002

6424 E Broadway Rd
Ste 101
Mesa, AZ 85206
Phone (602) 830-0619

10474 W Thunderbird Blvd
Ste 100
Sun City, AZ 85351
Phone (623) 832-5316

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GBCHBA

Organizations & group practices 7

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": "1129507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550016000000",
    "number": "1831188499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 S ALMA SCHOOL RD",
            "address_2": "SUITE 14000",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852102008",
            "telephone_number": "480-545-8119",
            "fax_number": "480-926-8332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6424 E BROADWAY RD STE 101",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852061750",
            "telephone_number": "480-456-9000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1201 S Alma School Rd",
            "address_2": "Suite 14000",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852102008",
            "country_code": "US",
            "telephone_number": "480-545-8119",
            "fax_number": "480-926-8332",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALKER",
        "first_name": "HAROLD",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-17",
        "last_updated": "2019-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AZ",
            "license": "24034",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110841",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.