Individual provider Active NPI

John W Walsh, M.D.

  • Gastroenterology Physician
  • Ypsilanti, MI
National Provider Identifier
1982684643
Registry record updated Sep 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
056299 Issued in MI
Practice address
5300 Elliott Dr
Ypsilanti, MI 48197-8632
Phone
(734) 434-6262
Fax
(734) 712-2820
NPI assigned
Jan 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 056299 MI Primary

Addresses

Primary practice location

5300 Elliott Dr
Ypsilanti, MI 48197-8632

Mailing address

5300 Elliott Dr
Ypsilanti, MI 48197-8632
Phone (734) 434-6262

Other identifiers 7

IdentifierTypeStateIssuer
0811009OtherMIBCBS INDIVIDUAL
1777972001OtherMICIGNA
014990OtherMIMIDWEST HEALTH PLAN
0H14989OtherMIBCBS GROUP
100005954OtherMIMEDICARE RAILROAD PTAN
4403997OtherMIAETNA
2919708MedicaidMI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address hurongastro@directaddress.net Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20051227000505 MI Practitioner - Internal MedicinePractitioner - Gastroenterology 9335137728 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Gastroenterology
Education
Johns Hopkins University School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Huron Gastroenterology Associates PCGroup PAC ID 0840288221, 95 clinicians
Iha Health Services CorporationGroup PAC ID 2466351440, 1,149 clinicians

Practice addresses (Care Compare)

5300 Elliott Dr
Ypsilanti, MI 48197-8632
Phone (734) 434-6262

5333 McAuley Dr
RM 2115
Ypsilanti, MI 48197-1097
Phone (734) 712-3971

Hospital & facility affiliations

  • Trinity Health Ann Arbor Hospital Hospital, Ann Arbor, MI, CCN 230156
  • Trinity Health Livingston Hospital Hospital, Howell, MI, CCN 230069

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy83
Upper gastrointestinal (GI) endoscopy for acid reflux65

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
056299MIMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Iha Health Service Corporation Gastroenterology CurrentSince Jul 30, 2021 Accepting new patients
Iha Health Services Corporation Current Accepting new patients
St Mary Mercy Hospital Professional Current Accepting new patients
St Mary Mercy Hospital Current Accepting new patients
St Mary Mercy Hospital Professional Gastroenterology CurrentSince Oct 8, 2023 Accepting new patients
Huron Gastroenterology Associates PC Gastroenterology Current Accepting new patients
St Mary Mercy Hospital Crna Current Accepting new patients
Huron Gastroenterology Associates PC Gastroenterology CurrentSince Jul 1, 1999 Accepting new patients
Iha Health Service Corporation CurrentSince Jul 30, 2021 Accepting new patients

Locations

7575 Grand River Rd
Brighton, MI 48114
Phone (810) 844-7544

128 Van Buren St
Chelsea, MI 48118
Phone (734) 475-8677

620 Byron Rd
Howell, MI 48843
Phone (517) 545-5450

36475 5 Mile Rd
Livonia, MI 48154
Phone (734) 464-4800

36650 5 Mile Rd
Livonia, MI 48154
Phone (734) 434-6262

20555 Victor Pkwy
Livonia, MI 48152
Phone (734) 343-3925

36650 5 Mile Rd
Ste 101
Livonia, MI 48154
Phone (734) 434-6262

44428 Woodward Ave
Ste 102
Pontiac, MI 48341
Phone (734) 712-8700

5300 Elliott Dr
Ypsilanti, MI 48197
Phone (734) 434-6262

5333 McAuley Dr
Rm 2115
Ypsilanti, MI 48197
Phone (734) 712-3971

5325 Elliott Dr
Ste 201
Ypsilanti, MI 48197
Phone (313) 434-6262

Interoperability endpoints

  • Direct secure messaging: hurongastro@directaddress.net
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 9

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1137628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757376000000",
    "number": "1982684643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 ELLIOTT DR",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481978632",
            "telephone_number": "734-434-6262",
            "fax_number": "734-712-2820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5300 ELLIOTT DR",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481978632",
            "telephone_number": "734-434-6262",
            "fax_number": "734-712-2820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALSH",
        "first_name": "JOHN",
        "middle_name": "W",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-19",
        "last_updated": "2025-09-09",
        "certification_date": "2025-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MI",
            "license": "056299",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS INDIVIDUAL",
            "identifier": "0811009",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1777972001",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MIDWEST HEALTH PLAN",
            "identifier": "014990",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP",
            "identifier": "0H14989",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD PTAN",
            "identifier": "100005954",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4403997",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2919708",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hurongastro@directaddress.net",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "XML,PDF",
            "address_1": "5300 Elliott Dr",
            "city": "Ypsilanti",
            "state": "MI",
            "country_code": "US",
            "postal_code": "481978632",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ypsilanti, MI

Sources for this page

Verify at the official NPI Registry.