Active NPI
Charlene Walton, MD
- Anesthesiology Physician
- Indianapolis, IN
National Provider Identifier
1972549087
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 01042739A
- Practice address
- 1001 W 10TH St
Indianapolis, IN 46202-2859 - Phone
- (317) 630-7525
- Fax
- (317) 567-2191
- NPI assigned
- Jun 20, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 01042739A | IN | Primary |
Addresses
Primary practice location
1001 W 10TH St
Indianapolis, IN 46202-2859
Mailing address
PO Box 6069
Dept 110
Indianapolis, IN 46206-6069
Phone (317) 567-2179
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200136450 | Medicaid | IN |
Other names 1
- Charlene Walton-Riley
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01042739A | IN | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cold Springs Medical Surgical Group LLC | Past | Accepting new patients |
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.
-
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- Santa Barbara, CA
- NPI 1639149255
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1242259200000",
"number": "1972549087",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6069",
"address_2": "DEPT 110",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462066069",
"telephone_number": "317-567-2179",
"fax_number": "317-567-2191"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 W 10TH ST",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462022859",
"telephone_number": "317-630-7525",
"fax_number": "317-567-2191"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALTON",
"first_name": "CHARLENE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-20",
"last_updated": "2009-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "IN",
"license": "01042739A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200136450",
"state": "IN"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CHARLENE",
"last_name": "WALTON-RILEY",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.