Karen W Walcott, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

247834 Issued in NY

Practice address

84 Sweeney St
N Tonawanda, NY 14120-5822

Phone

(716) 634-8500

NPI assigned

Jul 7, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

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

Specialty

Ophthalmology

Education

State University of New York at Buffalo School of Medicine, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Andrew J. Siedlecki, M.D., PCGroup PAC ID 2860457025, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kwalcott@siedlecki.medentdirect.com

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.

• Andrew J. Siedlecki, M.D., PC

  • Ophthalmology Physician
  • Williamsville, NY
  • NPI 1689884488
  Medicare reassignment Care Compare group NPD
• Sunrise Surgery Center LLC

  • Ambulatory Surgical Clinic/Center
  • Orchard Park, NY
  • NPI 1912675513
  NPD
• Reliant Medical Group, Inc

  • Physical Therapist
  • Worcester, MA
  • NPI 1295827962
  NPD (past)
• Reliant Medical Group, Inc

  • Family Medicine Physician
  • Worcester, MA
  • NPI 1720017528
  NPD (past)

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585526400000",
    "number": "1942232483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "89 MIDDLESEX RD",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142163617",
            "telephone_number": "716-359-3364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "84 SWEENEY ST",
            "city": "N TONAWANDA",
            "state": "NY",
            "postal_code": "141205822",
            "telephone_number": "716-634-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALCOTT",
        "first_name": "KAREN",
        "middle_name": "W",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-07",
        "last_updated": "2020-03-30",
        "certification_date": "2020-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "247834",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MA",
            "license": "229139",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102026377",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Baw Su
• Chad E Szymanski, DO
• Christine Terryberry, PA
• Phyllis H. Vogt, LCSWR
• Arvind K Wadhwa, MD
• Christa R Warthling, RPAC
• Dolores J. Wawrzynek, DDS
• Jessica Lynn Wight
• Lori Lynn Wildt, M.S. CCC/SLP
• Sherry Withiam Leitch, MD

• Ophthalmology Physician in N Tonawanda, NY
• Providers in N Tonawanda, NY by specialty
• Ophthalmology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2020; 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.

Verify at the official NPI Registry.