Individual provider Active NPI

Kristin K Walker, M.D.

  • Dermatology Physician
  • Orinda, CA
National Provider Identifier
1841208402
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
G078292 Issued in CA
Practice address
89 Davis Rd
Suite 180
Orinda, CA 94563-3031
Phone
(925) 254-1080
Fax
(925) 254-1652
NPI assigned
Aug 3, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X G078292 CA Primary

Addresses

Primary practice location

89 Davis Rd
Suite 180
Orinda, CA 94563-3031

Mailing address

89 Davis Rd
Suite 180
Orinda, CA 94563-3031
Phone (925) 254-1080

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20041015000919 CA Practitioner - Dermatology 9739149469 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

89 Davis Rd
Suite 180
Orinda, CA 94563-3032
Phone (925) 254-1080

Merit-based Incentive Payment System (MIPS)

Final score
84.7 of 100Reported as individual
Promoting interoperability
82
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision44
Removal of skin lesions543
Removal or shaving of skin growth1-10
Skin biopsy772

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G078292CAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kristin Walker M.D. Inc Dermatology CurrentSince Nov 15, 2004 Accepting new patients

Locations

12 Camino Encinas
#8
Orinda, CA 94563
Phone (925) 254-1080

89 Davis Rd
Ste 180
Orinda, CA 94563
Phone (925) 254-1080

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1841208402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "89 DAVIS RD",
            "address_2": "SUITE 180",
            "city": "ORINDA",
            "state": "CA",
            "postal_code": "945633031",
            "telephone_number": "925-254-1080",
            "fax_number": "925-254-1652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "89 DAVIS RD",
            "address_2": "SUITE 180",
            "city": "ORINDA",
            "state": "CA",
            "postal_code": "945633031",
            "telephone_number": "925-254-1080",
            "fax_number": "925-254-1652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "KRISTIN",
        "middle_name": "K",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "G078292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orinda, CA

Sources for this page

Verify at the official NPI Registry.