Mathew Walsh, MD

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

036105771 Issued in IL

Practice address

3 Erie CT
Oak Park, IL 60302-2519

Phone

(708) 283-6200

Fax

(708) 783-0920

NPI assigned

Aug 8, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• North American Partners in Anesthesia (Illinois), LLC

  • Anesthesiology Physician
  • Oak Park, IL
  • NPI 1699032524
  Medicare reassignment NPD
• Lakeshore Anesthesia LTD

  • Interventional Pain Medicine Physician
  • Chicago, IL
  • NPI 1295945335

  Anesthesiology

  NPD (past)
• Pain Centers of Chicago LLC

  • Pain Medicine Physician
  • Rockford, IL
  • NPI 1508457383
  NPD (past)
• American Anesthesiology of Mississippi LLC

  • Anesthesiology Physician
  • Melville, NY
  • NPI 1023723558
  NPD (past)

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427673600000",
    "number": "1891705281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3998 FAIR RIDGE DR",
            "address_2": "SUITE 300",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220332907",
            "telephone_number": "703-295-9360",
            "fax_number": "703-766-9725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 ERIE CT",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603022519",
            "telephone_number": "708-283-6200",
            "fax_number": "708-783-0920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALSH",
        "first_name": "MATHEW",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-08",
        "last_updated": "2015-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IL",
            "license": "036105771",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036105771",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karen Marie Walker, M.D.
• Kelsey Walker
• Shelby Wall, DC
• Sierra Waller
• Meredith Walsh-Beteta, LCMT
• Kimberly Walton, L.C.S.W.
• Wanderlust Therapy Chicago, LLC
• Cheryl Lynn Wandrey, PT
• Aaliyah Ward
• Crystal L Ward, LCSW

• Anesthesiology Physician in Oak Park, IL
• Providers in Oak Park, IL by specialty
• Anesthesiology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.