Individual provider Active NPI

Barry S Walters, M.D.

  • Cardiovascular Disease Physician
  • Pikesville, MD
National Provider Identifier
1972533586
Registry record updated Apr 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
D0019698 Issued in MD
Practice address
4000 Old Court Rd
Ste 103
Pikesville, MD 21208-2828
Phone
(410) 521-5600
Fax
(410) 580-9061
NPI assigned
Jul 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X D0019698 MD Primary

Addresses

Primary practice location

4000 Old Court Rd
Ste 103
Pikesville, MD 21208-2828

Mailing address

4000 Old Court Rd
Ste 103
Pikesville, MD 21208-2828
Phone (410) 521-5600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20050425000134 MD Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 0941248447 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Hospital Center, Inc. CurrentSince Jul 15, 1993 Accepting new patients
Sinai Hospital of Baltimore Inc Cardiovascular Disease CurrentSince Jun 19, 2010 Accepting new patients
Sinai Hospital of Baltimore, Inc. CurrentSince Jun 19, 2010 Accepting new patients
Northwest Hospital Center, Inc Current Accepting new patients
Sinai Hospital of Baltimore Inc Current Accepting new patients
Baltimore Heart Associates, P.a. Cardiovascular Disease CurrentSince Jan 1, 1975 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

2401 W Belvedere Ave
Baltimore, MD 21215

2411 W Belvedere Ave
Ste 509
Baltimore, MD 21215
Phone (401) 367-0100

4000 Old Court Rd
Ste 103
Pikesville, MD 21208
Phone (410) 484-9415

5401 Old Court Rd
Randallstown, MD 21133
Phone (301) 337-2727

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Northwest Hospital Center IncRandallstown, MD, CCN 210040 Hospital Corporate Director Jan 10, 2008

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 7

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": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522540800000",
    "number": "1972533586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 OLD COURT RD",
            "address_2": "STE 103",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212082828",
            "telephone_number": "410-521-5600",
            "fax_number": "410-580-9061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 OLD COURT RD",
            "address_2": "STE 103",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212082828",
            "telephone_number": "410-521-5600",
            "fax_number": "410-580-9061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTERS",
        "first_name": "BARRY",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2018-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MD",
            "license": "D0019698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pikesville, MD

Sources for this page

Verify at the official NPI Registry.