Individual provider Active NPI

Richard Joseph Walsh, MD

  • Dermatology Physician
  • Saint Joseph, MO
National Provider Identifier
1952385437
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
R6H83 Issued in MO
Practice address
3917 Sherman Avenue
Saint Joseph, MO 64506-3649
Phone
(816) 364-6777
NPI assigned
Nov 30, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X R6H83 MO Primary

Addresses

Primary practice location

3917 Sherman Avenue
Saint Joseph, MO 64506-3649

Mailing address

3917 Sherman Avenue
Saint Joseph, MO 64506-3649
Phone (816) 364-6777

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20070702000580 MO Practitioner - Dermatology 5597865600 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Nebraska College of Medicine, 1978
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3917 Sherman Ave
Saint Joseph, MO 64506-3649
Phone (816) 364-6777

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions3566

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Richard J Walsh MD LLC Dermatology CurrentSince Jul 1, 1988 Accepting new patients

Locations

3917 Sherman Ave
Saint Joseph, MO 64506
Phone (816) 364-6777

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1133308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1952385437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3917 SHERMAN AVENUE",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645063649",
            "telephone_number": "816-364-6777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3917 SHERMAN AVENUE",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645063649",
            "telephone_number": "816-364-6777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALSH",
        "first_name": "RICHARD",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MO",
            "license": "R6H83",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Joseph, MO

Sources for this page

Verify at the official NPI Registry.