Individual provider Active NPI

Roland Hayes Walker, M.D.

  • Pediatrics Physician
  • Michigan City, IN
National Provider Identifier
1891875647
Registry record updated Jan 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
01060204A Issued in IN
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

Updated by the provider on Jan 10, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
200811740AMedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, TX, NV, TN4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20050523001047 IN Practitioner - Pediatric MedicinePractitioner - Family Practice 2062454820 Reassigns benefits to 3 organizations
I20231109002299 TX Practitioner - Pediatric MedicinePractitioner - General Practice 2062454820 Reassigns benefits to 1 organization
I20250324002953 NV Practitioner - General Practice 2062454820 Reassigns benefits to 1 organization
I20260116003569 TN Practitioner - General Practice 2062454820 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
01060204AINMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Edgewater Systems for Balanced Living, Inc CurrentSince Jun 29, 2021 Accepting new patients
Porter-Starke Services Inc. CurrentSince Sep 9, 2015 Accepting new patients
Lake County Walker Medical Pediatrics CurrentSince Jun 1, 2024 Accepting new patients
Edgewater Systems for Balanced Living, Inc. CurrentSince Jun 29, 2021 Accepting new patients
Walker Medical LLC Pediatrics CurrentSince Aug 17, 2025 Accepting new patients
Porter-Starke Services Inc. CurrentSince Sep 9, 2015 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

  • Direct secure messaging: rwalker7754@themethodisthospitals.direct-ci.com
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.