Individual provider Active NPI

Walter Royal III, M.D.

  • Specialist
  • Baltimore, MD
National Provider Identifier
1972610384
Registry record updated Mar 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
D0062195 Issued in MD
Practice address
16 S Eutaw St
Frenkil BLDG 3Rd FL.
Baltimore, MD 21201-1606
Phone
(410) 328-4323
Fax
(410) 328-1149
NPI assigned
Aug 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X D0062195 MD Primary

Addresses

Primary practice location

16 S Eutaw St
Frenkil BLDG 3Rd FL.
Baltimore, MD 21201-1606

Mailing address

16 S Eutaw St
Frenkil BLDG 3Rd FL.
Baltimore, MD 21201-1606
Phone (410) 328-4323

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
I20051101000939 MD Practitioner - Neurology 5092605907 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0062195MDMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
University of Maryland Neurology Associates, P.a. Specialist CurrentSince Jan 5, 2005 Accepting new patients
University of Maryland Neurology Associates, P.a. Specialist Current Accepting new patients
University of Maryland Neurology Associates, P.a. Specialist CurrentSince Jan 5, 2005 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Morehouse Healthcare, Inc. PastSince Jul 1, 2012 Accepting new patients

Locations

16 S Eutaw St
Bldg 3RD
Baltimore, MD 21201
Phone (410) 328-3037

16 S Eutaw St
Fl 3
Baltimore, MD 21201
Phone (410) 328-4448

22 S Greene St
Baltimore, MD 21201
Phone (410) 328-5793

Organizations & group practices 5

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": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332460800000",
    "number": "1972610384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 S EUTAW ST",
            "address_2": "FRENKIL BLDG 3RD FL.",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212011606",
            "telephone_number": "410-328-4323",
            "fax_number": "410-328-1149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 S EUTAW ST",
            "address_2": "FRENKIL BLDG 3RD FL.",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212011606",
            "telephone_number": "410-328-4323",
            "fax_number": "410-328-1149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROYAL",
        "first_name": "WALTER",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-23",
        "last_updated": "2012-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MD",
            "license": "D0062195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.