DR. KELLY LYNN WALSMA MD
NPI 1215225321
Internal Medicine in Los Angeles, CA

Active since July 11, 2011PECOS EnrolledAccepts Medicare Assignment
1983 MARENGO ST, LOS ANGELES, CA 90033(323) 226-2622 Get Directions Write a Review

NPPES record last updated: June 12, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Kelly Lynn Walsma Md NPPES

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

DR. KELLY LYNN WALSMA MD (NPI 1215225321) is an individual internal medicine provider in Los Angeles, California, licensed in Missouri (2011019861) and active in the NPI registry since July 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1215225321
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. KELLY LYNN WALSMACredential: MD
Location Address1983 MARENGO STLos Angeles, CA 90033-1370
Mailing Address1983 Marengo StLos Angeles, CA 90033-1370 · (323) 226-2622
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateJuly 11, 2011
Last NPPES UpdateJune 12, 2014
NPI 1215225321 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in MO · 2011019861
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X · License A130686 (CA)
1983 MARENGO ST, Los Angeles, CA 90033

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Kelly Lynn Walsma Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5193952117
PECOS Enrollment IDI20170912001940
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
117 services59 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90033 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
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.

Pharmacist (Nuclear)
1983 MARENGO ST, RADIOPHARMACY - LAC/USC MEDICAL CENTER
LOS ANGELES, CA 90033
Emergency Medicine
1983 MARENGO ST
LOS ANGELES, CA 90033
Nurse Practitioner (Family)
1983 MARENGO ST
LOS ANGELES, CA 90033
Counselor (Mental Health)
1983 MARENGO ST
LOS ANGELES, CA 90033
Dentist (Oral and Maxillofacial Surgery)
1983 MARENGO ST
LOS ANGELES, CA 90033
Nurse Practitioner (Family)
1983 MARENGO ST
LOS ANGELES, CA 90033
General Acute Care Hospital
1983 MARENGO ST
LOS ANGELES, CA 90033
Otolaryngology
1983 MARENGO ST
LOS ANGELES, CA 90033

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1215225321, enumerated as an "individual" on July 11, 2011.

The provider is located at 1983 MARENGO ST LOS ANGELES, CA 90033 and the phone number is (323) 226-2622.

Internal Medicine with taxonomy code 207R00000X.