NPIMap

Individual provider Active NPI

Albert L Walsh, MD

  • Internal Medicine Physician
  • Evansville, IN
National Provider Identifier
1871581066
Registry record updated May 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
01044563A Issued in IN
Practice address
14020 Old State Rd Ste C400
Evansville, IN 47725-0002
Phone
(812) 428-2746
NPI assigned
Oct 11, 2005
Last updated
May 20, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 01044563A IN Primary

Addresses

Primary practice location

14020 Old State Rd Ste C400
Evansville, IN 47725-0002

Mailing address

14020 Old State Rd Ste C400
Evansville, IN 47725-0002

Other practice location 1

3838 N 1st Ave
Ste D
Evansville, IN 47710-3326
Phone (812) 428-2746

Other identifiers 1

IdentifierTypeStateIssuer
200266090AMedicaidIN

Other names 1

  • Chip Walsh Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address albert.walsh.1@7598.direct.athenahealth.com St Mary's Medical Group, LLC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20100226000472 IN Practitioner - Internal Medicine 7517002736 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St Marys Medical Group LLCGroup PAC ID 1153493341, 230 clinicians

Practice addresses (Care Compare)

801 Saint Marys Dr
505E
Evansville, IN 47714-0528
Phone (812) 491-3236

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as apm

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions13
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01044563AINMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Mary's Medical Group, LLC Internal Medicine CurrentSince Feb 25, 2014 Accepting new patients
Primary Physicians Network LLC Internal Medicine Current Accepting new patients
St Mary's Medical Group, LLC CurrentSince Feb 25, 2014 Accepting new patients
St. Mary's Health, Inc Internal Medicine Past Accepting new patients

Locations

100 S Rosenberger Ave
Ste B100
Evansville, IN 47712
Phone (812) 479-3125

1400 Professional Blvd
Ste 210
Evansville, IN 47714

14020 Old State Rd
Ste C400
Evansville, IN 47725
Phone (812) 428-2746

3524 N 1st Ave
Evansville, IN 47710
Phone (812) 425-1555

3838 N 1st Ave
Ste D
Evansville, IN 47710
Phone (812) 402-8808

6221 Physicians Ct
Evansville, IN 47715
Phone (812) 491-3236

801 Saint Marys Dr
Ste 505E
Evansville, IN 47714
Phone (812) 491-3236

7240 S US Highway 231
Huntingburg, IN 47542
Phone (812) 683-6336

Interoperability endpoints

  • Direct secure messaging: albert.walsh.1@7598.direct.athenahealth.com

Organizations & group practices 4

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 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1128988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653004800000",
    "number": "1871581066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14020 OLD STATE RD STE C400",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477250002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14020 OLD STATE RD STE C400",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477250002",
            "telephone_number": "812-428-2746"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3838 N 1st Ave",
            "address_2": "Ste D",
            "address_purpose": "LOCATION",
            "city": "Evansville",
            "state": "IN",
            "postal_code": "477103326",
            "country_code": "US",
            "telephone_number": "812-428-2746",
            "fax_number": "812-428-8400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALSH",
        "first_name": "ALBERT",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-11",
        "last_updated": "2022-05-20",
        "certification_date": "2022-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01044563A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200266090A",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "albert.walsh.1@7598.direct.athenahealth.com",
            "affiliation": "Y",
            "affiliationName": "St Mary's Medical Group, LLC",
            "address_1": "14020 Old State Rd Ste C400",
            "city": "Evansville",
            "state": "IN",
            "country_code": "US",
            "postal_code": "477250002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "CHIP",
            "last_name": "WALSH",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Evansville, IN

Sources for this page

Verify at the official NPI Registry.