Active NPI
Lyle G Walsh, M.D.
- Internal Medicine Physician
- North Charleston, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 20374
- Practice address
- 8992 University Blvd Ste 300
North Charleston, SC 29406-8104 - Phone
- (843) 876-8279
- NPI assigned
- Apr 5, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 20374 | SC | Primary |
Addresses
Primary practice location
8992 University Blvd Ste 300
North Charleston, SC 29406-8104
Mailing address
PO Box 602108
Charlotte, NC 28260-2108
Phone (843) 792-6200
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110206688 | Other | SC | RAILROAD MEDICARE ID# |
| 203746 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 93.96 of 100
- Quality
- 89.02
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20374 | SC | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolina Family Care, Inc | Current | Accepting new patients | |
| Low Country Internal Medicine of SC, P.a. | Internal Medicine | Current | Accepting new patients |
| Carolina Family Care, Inc | Internal Medicine | Current | Accepting new patients |
| Coastal Carolina Primary Care, LLC | Past | Accepting new patients |
Locations
1208 Two Island Ct
Mt Pleasant, SC 29466
Phone (843) 884-6653
2845 Tricom St
North Charleston, SC 29406
Phone (843) 797-1770
8992 University Blvd
Ste 300
North Charleston, SC 29406
Phone (843) 876-8279
8471 Resolute Way
North Charleston, SC 29420
Phone (843) 876-2879
Organizations & group practices 4
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
- North Charleston, SC
- NPI 1649533662
-
- Family Medicine Physician
- Charleston, SC
- NPI 1184655722
-
- Internal Medicine Physician
- North Charleston, SC
- NPI 1093773939
-
- Endocrinology, Diabetes & Metabolism Physician
- Myrtle Beach, SC
- NPI 1821257676
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1341446400000",
"number": "1962464875",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 602108",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282602108",
"telephone_number": "843-792-6200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8992 UNIVERSITY BLVD STE 300",
"city": "NORTH CHARLESTON",
"state": "SC",
"postal_code": "294068104",
"telephone_number": "843-876-8279"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALSH",
"first_name": "LYLE",
"middle_name": "G",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-05",
"last_updated": "2012-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "SC",
"license": "20374",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE ID#",
"identifier": "110206688",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "203746",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in North Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2012; 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.