Active NPI
Mugabe Walker, MD
- Internal Medicine Physician
- San Antonio, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- S9079
- Practice address
- 4522 Fredericksburg Rd Ste A14
San Antonio, TX 78201-6595 - Phone
- (210) 733-3005
- Fax
- (210) 733-3001
- NPI assigned
- Feb 4, 2011
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | S9079 | TX | |
| Internal Medicine Physician | 207R00000X | S9079 | TX | Primary |
| Internal Medicine Physician | 207R00000X | MT193877 | PA | |
| Internal Medicine Physician | 207R00000X | 51132 | CO |
Addresses
Primary practice location
4522 Fredericksburg Rd Ste A14
San Antonio, TX 78201-6595
Mailing address
6101 Blue Lagoon Dr Ste 200
Miami, FL 33126-3168
Phone (407) 533-6836
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 98835530 | Medicaid | CO |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mugabe.walker.1@29601.direct.athenahealth.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2115 Stuart Ave
Alamosa, CO 81101-2269
Phone (719) 589-3000
4522 Fredericksburg Rd
Suite A14
San Antonio, TX 78201-6595
Phone (210) 773-3005
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 51132 | CO | MD | Internal Medicine Physician |
| MT193877 | PA | MD | Internal Medicine Physician |
| S9079 | TX | MD | Geriatric Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Conviva Medical Center Management of Texas, P.a. | Internal Medicine | Current | Accepting new patients |
| Centerwell Senior Primary Care (SC) PC | Internal Medicine | Current | Accepting new patients |
Locations
6101 Waterford District Dr
Ste 200
Miami, FL 33126
Phone (407) 533-6836
260 US Highway 181 N
Floresville, TX 78114
Phone (830) 393-8222
4522 Fredericksburg Rd
Ste A14
San Antonio, TX 78201
Phone (210) 733-3005
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Live Oak, TX
- NPI 1770988990
-
- General Acute Care Hospital
- Alamosa, CO
- NPI 1235181744
-
- Internal Medicine Physician
- Greenville, SC
- NPI 1376907790
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Alamosa, CO
- NPI 1235181744
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1296777600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775520000000",
"number": "1922304195",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6101 BLUE LAGOON DR STE 200",
"city": "MIAMI",
"state": "FL",
"postal_code": "331263168",
"telephone_number": "407-533-6836",
"fax_number": "407-770-0661"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4522 FREDERICKSBURG RD STE A14",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782016595",
"telephone_number": "210-733-3005",
"fax_number": "210-733-3001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALKER",
"first_name": "MUGABE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-02-04",
"last_updated": "2026-04-07",
"certification_date": "2026-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "TX",
"license": "S9079",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "S9079",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "MT193877",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CO",
"license": "51132",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "98835530",
"state": "CO"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mugabe.walker.1@29601.direct.athenahealth.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "4522 Fredericksburg Rd Ste A14",
"city": "San Antonio",
"state": "TX",
"country_code": "US",
"postal_code": "782016595",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2026; 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.