Active NPI
Roland Hayes Walker, M.D.
- Pediatrics Physician
- Michigan City, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 01060204A
- Practice address
- 601 W Kieffer Rd
Michigan City, IN 46360-9599 - Phone
- (219) 210-3676
- Fax
- (219) 939-6090
- NPI assigned
- Oct 16, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 01060204A | IN | |
| Pediatrics Physician | 208000000X | 01060204A | IN | Primary |
Addresses
Primary practice location
601 W Kieffer Rd
Michigan City, IN 46360-9599
Mailing address
1001 N Vermillion St
Gary, IN 46403-1541
Phone (219) 939-8970
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200811740A | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, TX, NV, TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- General Practice
- Education
- Other, 2001
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
4055 Valley View LN
Suite 700
Dallas, TX 75244-4910
4055 Valley View LN
Suite 700
Dallas, TX 75244-5045
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01060204A | IN | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Edgewater Systems for Balanced Living, Inc | Current | Accepting new patients | |
| Porter-Starke Services Inc. | Current | Accepting new patients | |
| Lake County Walker Medical | Pediatrics | Current | Accepting new patients |
| Edgewater Systems for Balanced Living, Inc. | Current | Accepting new patients | |
| Walker Medical LLC | Pediatrics | Current | Accepting new patients |
| Porter-Starke Services Inc. | Current | Accepting new patients | |
| Midwest Integrated Health Systems, P.C. | Past | Accepting new patients |
Locations
3229 Broadway
Ste 205
Gary, IN 46409
Phone (219) 806-3000
1100 W 6th Ave
Gary, IN 46402
Phone (219) 881-2466
426 S Lake St
Gary, IN 46403
Phone (219) 939-6070
6916 W Johnson Rd
Laporte, IN 46350
Phone (219) 872-7247
601 W Kieffer Rd
Michigan City, IN 46360
Phone (219) 878-3217
601 Wall St
Valparaiso, IN 46383
Phone (219) 806-3011
Interoperability endpoints
- rwalker7754@themethodisthospitals.direct-ci.com
- roland.walker@577908282753028.direct.elationemr.com
Organizations & group practices 8
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Gary, IN
- NPI 1588705784
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Valparaiso, IN
- NPI 1689627598
-
- Federally Qualified Health Center (FQHC)
- Gary, IN
- NPI 1093670648
-
- Federally Qualified Health Center (FQHC)
- Valparaiso, IN
- NPI 1659196236
-
- Family Medicine Physician
- Gary, IN
- NPI 1336211481
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704844800000",
"number": "1891875647",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 N VERMILLION ST",
"city": "GARY",
"state": "IN",
"postal_code": "464031541",
"telephone_number": "219-939-8970"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 W KIEFFER RD",
"city": "MICHIGAN CITY",
"state": "IN",
"postal_code": "463609599",
"telephone_number": "219-210-3676",
"fax_number": "219-939-6090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALKER",
"first_name": "ROLAND",
"middle_name": "HAYES",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-16",
"last_updated": "2024-01-10",
"certification_date": "2024-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "IN",
"license": "01060204A",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IN",
"license": "01060204A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200811740A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Michigan City, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2024; 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.