Active NPI
Joseph W Walek, MD
- Sleep Medicine (Internal Medicine) Physician
- Gardner, MA
National Provider Identifier
1902891435
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sleep Medicine (Internal Medicine) Physician
- License
- 71291
- Practice address
- 242 Green St
Gardner, MA 01440-1336 - Phone
- (978) 630-5020
- Fax
- (978) 630-5029
- NPI assigned
- Sep 12, 2005
- Last updated
- Feb 18, 2015
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | 71291 | MA | |
| Sleep Medicine (Internal Medicine) Physician | 207RS0012X | 71291 | MA | Primary |
Addresses
Primary practice location
242 Green St
Gardner, MA 01440-1336
Mailing address
242 Green St
Gardner, MA 01440-1336
Phone (978) 630-5020
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110049110A | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 82.98
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71291 | MA | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Henry Heywood Memorial Hospital | Current | Accepting new patients | |
| Athol Memorial Hospital Incorporated | Current | Accepting new patients | |
| Henry Heywood Memorial Hospital | Current | Accepting new patients | |
| Heywood Medical Group Inc. | Pulmonary Disease | Current | Accepting new patients |
Locations
2033 Main St
Athol, MA 01331
Phone (978) 249-1295
242 Green St
Gardner, MA 01440
Phone (978) 258-4734
250 Green St
Gardner, MA 01440
Phone (978) 630-5050
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.
-
- Critical Access Hospital
- Athol, MA
- NPI 1336120047
-
dba Heywood Hospital
- General Acute Care Hospital
- Gardner, MA
- NPI 1205823879
-
dba Heywood Hospital
- Psychiatric Hospital Unit
- Gardner, MA
- NPI 1457685299
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1424217600000",
"number": "1902891435",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "242 GREEN ST",
"city": "GARDNER",
"state": "MA",
"postal_code": "014401336",
"telephone_number": "978-630-5020",
"fax_number": "978-630-5029"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "242 GREEN ST",
"city": "GARDNER",
"state": "MA",
"postal_code": "014401336",
"telephone_number": "978-630-5020",
"fax_number": "978-630-5029"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALEK",
"first_name": "JOSEPH",
"middle_name": "W",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-12",
"last_updated": "2015-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "MA",
"license": "71291",
"primary": false
},
{
"code": "207RS0012X",
"taxonomy_group": "",
"desc": "Internal Medicine, Sleep Medicine",
"state": "MA",
"license": "71291",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110049110A",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gardner, MA
- Wachusett Radiology, Inc.
- Wachusett Rehabilitation and Nursing Center LLC
- Wal-Mart Stores East LP (Wal-Mart Pharmacy 10-2155)
- Wal-Mart Stores East, LP (Wal-Mart Vision Center 30-2155)
- Bonnie Lyn Waldron, PTA
- Walgreen Co (Walgreens #17230)
- Walgreen Co (Walgreens #17177)
- Barbara J. Walker, RNNP
- Bonnie Jean Wallace, MED
- Catherine Walsh-Okeefe, LMHC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 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.