Individual provider Active NPI

Walter K Sosey, MD

  • Internal Medicine Physician
  • LK Havasu Cty, AZ
National Provider Identifier
1942276555
Registry record updated Nov 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
7826 Issued in AZ
Practice address
1830 Mesquite Ave #a
LK Havasu Cty, AZ 86403-5885
Phone
(928) 855-8071
Fax
(928) 855-6869
NPI assigned
Feb 23, 2006
Last updated
Nov 20, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 20, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 7826 AZ Primary

Addresses

Primary practice location

1830 Mesquite Ave #a
LK Havasu Cty, AZ 86403-5885

Mailing address

1830 Mesquite Ave #a
LK Havasu Cty, AZ 86403-5885
Phone (928) 855-8071

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20071207000719 AZ Practitioner - General Practice 2769571132 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
79.85 of 100Reported as group
Quality
60.31
Promoting interoperability
93
Improvement activities
40
Cost
78.37

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7826AZMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Lakeside Heart and Vascular Center PLLC CurrentSince Sep 15, 2023 Accepting new patients

Locations

309 Lake Havasu Ave S
Ste A
Lake Havasu City, AZ 86403

1830 Mesquite Ave
Ste A
Lk Havasu Cty, AZ 86403
Phone (928) 453-4300

1840 Mesquite Ave
Ste H
Lk Havasu Cty, AZ 86403
Phone (928) 855-4224

2082 Mesquite Ave
Ste 100A
Lk Havasu Cty, AZ 86403
Phone (928) 453-2828

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/3291/brand/1/csg/1/fhir/r4

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1140652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195516800000",
    "number": "1942276555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1830 MESQUITE AVE #A",
            "city": "LK HAVASU CTY",
            "state": "AZ",
            "postal_code": "864035885",
            "telephone_number": "928-855-8071",
            "fax_number": "928-855-6869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1830 MESQUITE AVE #A",
            "city": "LK HAVASU CTY",
            "state": "AZ",
            "postal_code": "864035885",
            "telephone_number": "928-855-8071",
            "fax_number": "928-855-6869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOSEY",
        "first_name": "WALTER",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-23",
        "last_updated": "2007-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "7826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in LK Havasu Cty, AZ

Sources for this page

Verify at the official NPI Registry.