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KENNETH A WALSH M.D.
NPI 1104832138
Internal Medicine - Cardiovascular Disease in Huntington, NY

Active since July 31, 2006PECOS Enrolled
325 PARK AVE, HUNTINGTON, NY 11743(631) 351-3782(631) 351-3729 Get Directions Write a Review

NPPES record last updated: July 2, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Kenneth A Walsh M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENNETH A WALSH M.D. (NPI 1104832138) is an individual cardiovascular disease provider in Huntington, New York, licensed in New York (161747-1) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104832138
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameKENNETH A WALSHCredential: M.D.
Location Address325 PARK AVEHuntington, NY 11743-2779
Mailing Address325 Park AveHuntington, NY 11743-2779 · (631) 351-3782 · Fax (631) 351-3729
Phone(631) 351-3782
Fax(631) 351-3729
Sole ProprietorNo
Enumeration DateJuly 31, 2006
Last NPPES UpdateJuly 2, 2008
✔ NPI 1104832138 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in NY · 161747-1
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
325 PARK AVE, Huntington, NY 11743
Open in Google Maps ↗

Other Identifiers 7

Other41D641NY · Blue Cross/ Blue Shield
Medicare UPINA62665NY
Medicare ID-Type Unspecified41D641NY
Medicaid00906670NY
OtherCP087NY · Oxford
Other2C4894NY · Healthnet
Other2595080NY · Ghi

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kenneth A Walsh M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Kenneth Walsh reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

North Shore Medical Group Of The Mount Sinai School Of Medicine
1.9 mi
Gastroenterology
775 PARK AVE
Huntington, NY 11743
  • Reassigned Medicare billing, New York enrollment
  • 572 clinicians in this Medicare group
NPI 1164623278 (631) 659-4400
Chs Physician Partners, PC
11 mi
Cardiovascular Disease
206 FALLWOOD PKWY
Farmingdale, NY 11735
  • Reassigned Medicare billing, New York enrollment
  • 944 clinicians in this Medicare group
NPI 1750626974 (516) 249-1020
North Shore-Lij Medical PC
16 mi
Urology
1010 NORTHERN BLVD STE 110
Great Neck, NY 11021
  • Reassigned Medicare billing, New York enrollment
  • 9,353 clinicians in this Medicare group
NPI 1053688572 (516) 321-7400

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11743 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RICHARD B SCHWARZ M.D.
Internal Medicine (Nephrology)
325 PARK AVE
HUNTINGTON, NY 11743
Suffolk County (631) 351-3784
LYNN RECH
Registered Nurse (Diabetes Educator)
325 PARK AVE
HUNTINGTON, NY 11743
Suffolk County (631) 367-5240
ARMAND E ABULENCIA MD
Orthopaedic Surgery
325 PARK AVE
HUNTINGTON, NY 11743
Suffolk County (631) 351-3728
DR. ELAINE M. FREILER M.D.
Radiology (Diagnostic Radiology)
325 PARK AVE
HUNTINGTON, NY 11743
Suffolk County (631) 351-3744
AMY HELEN KOROBOW
Allergy & Immunology
325 PARK AVE
HUNTINGTON, NY 11743
Suffolk County (631) 367-5391
KIRK SPERBER MD
Allergy & Immunology (Clinical & Laboratory Immunology)
325 PARK AVE
HUNTINGTON, NY 11743
Suffolk County (631) 659-4491
PRAGATI TANDON MD
Internal Medicine (Hematology & Oncology)
325 PARK AVE
HUNTINGTON, NY 11743
Suffolk County (631) 659-4440
EDOUARD KAMHI M.D.
Orthopaedic Surgery
325 PARK AVE
HUNTINGTON, NY 11743
Suffolk County (631) 351-3728

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenneth Walsh's NPI number?

The NPI number for Kenneth Walsh is 1104832138. It was assigned to this individual provider in the NPPES registry on July 31, 2006.

Where is Kenneth Walsh located?

Kenneth Walsh practices at 325 Park Ave, Huntington, NY 11743. The listed phone number is (631) 351-3782.

What is Kenneth Walsh's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Kenneth Walsh enrolled in Medicare?

Yes. Kenneth Walsh is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kenneth Walsh's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kenneth Walsh reassigns Medicare benefits to 3 organizations: North Shore Medical Group Of The Mount Sinai School Of Medicine (Huntington, NY), Chs Physician Partners, PC (Farmingdale, NY) and North Shore-Lij Medical PC (Great Neck, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kenneth Walsh's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kenneth Walsh was last updated on July 2, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.