Active NPI
James F Walery, M.D.
- Family Medicine Physician
- Unalaska, AK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 102832
- Practice address
- 34 Lavelle Court
Unalaska, AK 99685 - Phone
- (907) 581-1202
- NPI assigned
- Feb 21, 2006
- Last updated
- Aug 11, 2021
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medical Services (Emergency Medicine) Physician | 207PE0004X | 3967 | SD | |
| Family Medicine Physician | 207Q00000X | 3967 | SD | |
| Family Medicine Physician | 207Q00000X | 102832 | AK | Primary |
Addresses
Primary practice location
34 Lavelle Court
Unalaska, AK 99685
Mailing address
PO Box 4105
Portland, OR 97208-4105
Phone (866) 907-1068
Other practice location 1
1201 E 36th Ave
Anchorage, AK 99508-4372
Phone (907) 562-9229
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5609880 | Medicaid | SD | |
| 1636403 | Medicaid | AK |
Other names 1
- Jim Walery
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jwalery562195@ak.providencedirect.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SD, AK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Sanford School of Medicine of University of South Dakota, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Rural Health Care Inc
Practice addresses (Care Compare)
300 22ND Ave
Brookings, SD 57006-2480
Phone (605) 692-6351
34 Lavelle Court
Unalaska, AK 99685-0144
Phone (907) 581-1202
34 Lavelle CT
Unalaska, AK 99685-0144
400 22ND Ave
Brookings, SD 57006-2450
Phone (605) 697-9500
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Avera St Marys | Current | Accepting new patients | |
| Iliuliuk Family and Health Services Inc | Current | Accepting new patients | |
| Rural Health Care, Inc | Current | Accepting new patients | |
| Avera St Marys | Current | Accepting new patients | |
| Rural Health Care, Inc. | Current | Accepting new patients | |
| Rural Health Care, Inc | Current | Accepting new patients | |
| City of Brookings | Current | Accepting new patients | |
| Avera St. Mary's | Current | Accepting new patients | |
| Center for Family Medicine | Family Medicine | Past | Accepting new patients |
| Center for Family Medicine | Family Medicine | Past | Accepting new patients |
| Iliuliuk Family &Health Services, Inc. | Past | Accepting new patients |
Locations
300 22nd Ave
Brookings, SD 57006
Phone (605) 692-6351
400 22nd Ave
Brookings, SD 57006
Phone (605) 692-6236
400 22nd Ave
Ste 1
Brookings, SD 57006
Phone (605) 697-9500
Interoperability endpoints
- jim.walery@avera.sdhealthlink.net
- jwalery562195@ak.providencedirect.org
Organizations & group practices 11
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.
-
- Federally Qualified Health Center (FQHC)
- Unalaska, AK
- NPI 1376520692
-
dba Access Health - Murdo
- Federally Qualified Health Center (FQHC)
- Murdo, SD
- NPI 1720076441
-
dba Avera St Marys Hospital ER CRNA
- Emergency Medicine Physician
- Pierre, SD
- NPI 1073305496
-
dba Access Health - Brookings
- Federally Qualified Health Center (FQHC)
- Brookings, SD
- NPI 1386254191
-
dba Access Health Marshall
- Federally Qualified Health Center (FQHC)
- Marshall, MN
- NPI 1740944602
-
dba IFHS Pharmacy
- Community/Retail Pharmacy
- Unalaska, AK
- NPI 1760340905
-
- Family Medicine Physician
- Sioux Falls, SD
- NPI 1164493672
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628640000000",
"number": "1851366207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4105",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972084105",
"telephone_number": "866-907-1068",
"fax_number": "425-917-9141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34 LAVELLE COURT",
"city": "UNALASKA",
"state": "AK",
"postal_code": "99685",
"telephone_number": "907-581-1202"
}
],
"practiceLocations": [
{
"address_1": "1201 E 36th Ave",
"address_purpose": "LOCATION",
"city": "Anchorage",
"state": "AK",
"postal_code": "995084372",
"country_code": "US",
"telephone_number": "907-562-9229",
"fax_number": "907-562-1603",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WALERY",
"first_name": "JAMES",
"middle_name": "F",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-21",
"last_updated": "2021-08-11",
"certification_date": "2021-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "207PE0004X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Emergency Medical Services",
"state": "SD",
"license": "3967",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "SD",
"license": "3967",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AK",
"license": "102832",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5609880",
"state": "SD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1636403",
"state": "AK"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jwalery562195@ak.providencedirect.org",
"affiliation": "N",
"address_1": "1201 E 36th Ave",
"city": "Anchorage",
"state": "AK",
"country_code": "US",
"postal_code": "995084372",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "JIM",
"last_name": "WALERY",
"credential": "NICKNAME",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Unalaska, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.