Individual provider Active NPI

Peter Anthony Walker, M.D.

  • Surgery Physician
  • Palm Bay, FL
National Provider Identifier
1932348232
Registry record updated Mar 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
ME132404 Issued in FL
Practice address
1421 Malabar Rd NE Ste 220
Palm Bay, FL 32907
Phone
(321) 434-8228
Fax
(321) 434-8229
NPI assigned
Feb 10, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X ME132404 FL Primary

Addresses

Primary practice location

1421 Malabar Rd NE Ste 220
Palm Bay, FL 32907

Mailing address

3300 S Fiske Blvd
Rockledge, FL 32955-4306

Other practice location 1

8725 N Wickham Rd Ste 200
Melbourne, FL 32940-2240
Phone (321) 434-9230

Other practice location 2

1223 Gateway Dr Ste 2B
Melbourne, FL 32901-2607
Phone (321) 434-8228

Other practice location 3

730 Malabar Rd Ste B
Malabar, FL 32950-3140
Phone (321) 434-8228

Other identifiers 2

IdentifierTypeStateIssuer
021401700MedicaidFL
JA348ZOtherFLFL MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20090630000485 TX Practitioner - General Surgery 5698826733 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Saint Louis University School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ut PhysiciansGroup PAC ID 8426960360, 1,744 clinicians

Practice addresses (Care Compare)

17500 W Grand Pkwy S
Sugar Land, TX 77479-2562
Phone (281) 725-5000

Hospital & facility affiliations

  • Memorial Hermann Sugar Land Hospital Hospital, Sugar Land, TX, CCN 450848
  • Memorial Hermann - Texas Medical Center Hospital, Houston, TX, CCN 450068

Merit-based Incentive Payment System (MIPS)

Final score
84.11 of 100Reported as group
Quality
69.15
Promoting interoperability
100
Improvement activities
40
Cost
73.63

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Ut Physicians CurrentSince Jul 1, 2013 Accepting new patients
Ut Physicians Surgery CurrentSince Jul 1, 2013 Accepting new patients

Locations

6500 West Loop S
Ste 200E
Bellaire, TX 77401
Phone (713) 486-1330

6410 Fannin St
Ste 500
Houston, TX 77030
Phone (713) 500-5714

5550 Kelley St
Fl 3
Houston, TX 77026
Phone (713) 566-4768

8810 Highway 6
Ste 100
Sienna Plantation, TX 77459
Phone (713) 486-1200

17510 W Grand Pkwy S
Ste 450
Sugar Land, TX 77479
Phone (281) 633-8600

17500 W Grand Pkwy S
Sugar Land, TX 77479
Phone (281) 725-5000

Interoperability endpoints

  • Direct secure messaging: pwalker13999@direct.uth.org

Organizations & group practices 2

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1234224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584057600000",
    "number": "1932348232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 S FISKE BLVD",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329554306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1421 MALABAR RD NE STE 220",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "32907",
            "telephone_number": "321-434-8228",
            "fax_number": "321-434-8229"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8725 N Wickham Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "329402240",
            "country_code": "US",
            "telephone_number": "321-434-9230",
            "fax_number": "321-434-9234",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1223 Gateway Dr Ste 2B",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "329012607",
            "country_code": "US",
            "telephone_number": "321-434-8228",
            "fax_number": "321-434-8229",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "730 Malabar Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "Malabar",
            "state": "FL",
            "postal_code": "329503140",
            "country_code": "US",
            "telephone_number": "321-434-8228",
            "fax_number": "321-434-8229",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALKER",
        "first_name": "PETER",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-02-10",
        "last_updated": "2020-03-13",
        "certification_date": "2020-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME132404",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "021401700",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL MEDICARE",
            "identifier": "JA348Z",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Bay, FL

Sources for this page

Verify at the official NPI Registry.