Active NPI
Kris M Walker, MD
- Family Medicine Physician
- Pocatello, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- M7081
- Practice address
- 1951 Bench Rd
Suite B
Pocatello, ID 83201-2073 - Phone
- (208) 238-1000
- Fax
- (208) 238-0009
- NPI assigned
- Aug 29, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | M7081 | ID | Primary |
Addresses
Primary practice location
1951 Bench Rd
Suite B
Pocatello, ID 83201-2073
Mailing address
1951 Bench Rd
Suite B
Pocatello, ID 83201-2073
Phone (208) 238-1000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 804072000 | Medicaid | ID | |
| 010061577 | Other | ID | RAILROAD MEDICARE PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Nevada School of Medicine, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- BMH IncBingham Memorial Hospital
Practice addresses (Care Compare)
315 W Idaho St
Blackfoot, ID 83221-1711
Phone (208) 782-3990
850 Yellowstone Ave
Pocatello, ID 83201-4415
Phone (208) 239-8065
98 Poplar St
Blackfoot, ID 83221-1758
Phone (208) 785-4100
Hospital & facility affiliations
- Enhabit Home Health of Eastern Idaho
- Bingham Memorial Hospital
- Portneuf Medical Center
- Caribou Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M7081 | ID | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| BMH, Inc. | Current | Accepting new patients | |
| BMH Inc | Current | Accepting new patients | |
| BMH, Inc. | Current | Accepting new patients | |
| BMH, Inc. | Family Medicine | Current | Accepting new patients |
| BMH Inc. | Past | Accepting new patients |
Locations
315 W Idaho St
Blackfoot, ID 83221
Phone (208) 782-3990
98 Poplar St
Blackfoot, ID 83221
Phone (208) 782-3763
850 Yellowstone Ave
Ste A
Pocatello, ID 83201
Phone (208) 239-8065
4750 Yellowstone Ave
Pocatello, ID 83202
Phone (208) 233-1720
1151 Hospital Way
#D100
Pocatello, ID 83201
Phone (208) 239-8010
850 Yellowstone Ave
Ste B
Pocatello, ID 83201
Phone (208) 239-8066
1151 Hospital Way
Ste D100
Pocatello, ID 83201
Interoperability endpoints
- kriswalker@bmh.medalliesdirect.net
Organizations & group practices 5
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.
-
- Critical Access Hospital
- Blackfoot, ID
- NPI 1982805271
-
- Surgery Physician
- Blackfoot, ID
- NPI 1255539193
-
- Interventional Pain Medicine Physician
- Pocatello, ID
- NPI 1245779412
-
- Family Medicine Physician
- Pocatello, ID
- NPI 1295502995
-
- Rural Health Clinic/Center
- Blackfoot, ID
- NPI 1770785875
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Blackfoot, ID
- NPI 1982805271
-
- Critical Access Hospital
- Soda Springs, ID
- NPI 1942970272
-
- Home Health Agency
- Idaho Falls, ID
- NPI 1700167400
-
- Rehabilitation Hospital Unit
- Pocatello, ID
- NPI 1144262114
-
- General Acute Care Hospital
- Pocatello, ID
- NPI 1790751055
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1432771200000",
"number": "1861500613",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1951 BENCH RD",
"address_2": "SUITE B",
"city": "POCATELLO",
"state": "ID",
"postal_code": "832012073",
"telephone_number": "208-238-1000",
"fax_number": "208-238-0009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1951 BENCH RD",
"address_2": "SUITE B",
"city": "POCATELLO",
"state": "ID",
"postal_code": "832012073",
"telephone_number": "208-238-1000",
"fax_number": "208-238-0009"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALKER",
"first_name": "KRIS",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-29",
"last_updated": "2015-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "ID",
"license": "M7081",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "804072000",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE PTAN",
"identifier": "010061577",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pocatello, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2015; 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.