MARY KATHLEEN WALSH PA-C
NPI 1225677404
Orthopaedic Surgery - Sports Medicine in Chicago, IL

Q: What is Mary Walsh's NPI number?

The NPI number for Mary Walsh is 1225677404. It was assigned to this individual provider in the NPPES registry on January 5, 2020.

Q: What is Mary Walsh's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Q: When was this NPI record last updated?

The NPPES record for Mary Walsh was last updated on January 5, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since January 05, 2020PECOS EnrolledAccepts Medicare Assignment

1611 W HARRISON ST, CHICAGO, IL 60612(877) 632-6637 Get Directions Write a Review

NPPES record last updated: January 5, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mary Kathleen Walsh Pa-c NPPES

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

MARY KATHLEEN WALSH PA-C (NPI 1225677404) is an individual sports medicine provider in Chicago, Illinois, licensed in Illinois (085007391) and active in the NPI registry since January 2020. She is enrolled in Medicare PECOS, is affiliated with Rush Oak Park Hospital, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1225677404

Entity TypeIndividualFemale

Primary Taxonomy207XX0005X

Provider Legal NameMARY KATHLEEN WALSHCredential: PA-C

Location Address1611 W HARRISON STChicago, IL 60612-4861

Mailing Address2604 William DrValparaiso, IN 46385-8182 · (219) 246-7981

Phone(877) 632-6637

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateJanuary 5, 2020

✔ NPI 1225677404 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207XX0005X

License✔ Licensed in IL · 085007391

Definition

An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.

1611 W HARRISON ST, Chicago, IL 60612

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.Insurance ›

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

Mary Kathleen Walsh Pa-c 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 ID9133550577

PECOS Enrollment IDI20200519000906, I20201112001976

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 5

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

Hyaluronan or derivative, trivisc, for intra-articular injection, 1 mg J7329

Trivisc is a treatment involving injections of a substance called hyaluronan into your joint, typically the knee. This substance is similar to a natural fluid in your joints that helps cushion and lubricate them. Trivisc can help reduce pain and improve joint movement.

900 services18 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

45 services31 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

36 services33 patients

X-ray of knee, 4 or more views 73564

An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.

13 services11 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

13 services12 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Rush Oak Park Hospital

Acute Care Hospitals · Oak Park, IL

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number140063

Location520 S Maple AveOak Park, IL 60304 · Cook County

Emergency services

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.

DR. FRANK M. PHILLIPS M.D.

Orthopaedic Surgery (Orthopaedic Surgery of the Spine)

1611 W HARRISON ST, STE 400
CHICAGO, IL 60612

Cook County (312) 243-4244

GEORGE KOURIS MD SC

Plastic Surgery

1611 W HARRISON ST, 212
CHICAGO, IL 60612

Cook County (312) 432-2850

EMILY N STOUFFER NP-C

Nurse Practitioner

1611 W HARRISON ST, SUITE 400
CHICAGO, IL 60612

Cook County (312) 243-4244

TARA KENNEDY DUFFY PA

Physician Assistant

1611 W HARRISON ST
CHICAGO, IL 60612

Cook County (877) 632-6637

EMILY REESON MD

Orthopaedic Surgery

1611 W HARRISON ST
CHICAGO, IL 60612

Cook County (815) 576-2046

DR. JEFFREY M MJAANES MD

Pediatrics (Sports Medicine)

1611 W HARRISON ST, STE 400
CHICAGO, IL 60612

Cook County (312) 243-4244

ASHLEY SCHULTEJANN ATC

Specialist/Technologist (Athletic Trainer)

1611 W HARRISON ST, SUITE 300
CHICAGO, IL 60612

Cook County (312) 432-2432

PAIGE MAHER PA-C

Physician Assistant

1611 W HARRISON ST, STE 300
CHICAGO, IL 60612

Cook County (312) 432-2381

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 Mary Walsh's NPI number?

The NPI number for Mary Walsh is 1225677404. It was assigned to this individual provider in the NPPES registry on January 5, 2020.

Where is Mary Walsh located?

Mary Walsh practices at 1611 W Harrison St, Chicago, IL 60612. The listed phone number is (877) 632-6637.

What is Mary Walsh's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Is Mary Walsh enrolled in Medicare?

Yes. Mary Walsh is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Mary Walsh accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Mary Walsh as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Mary Walsh affiliated with any hospitals?

According to CMS data, Mary Walsh is affiliated with Rush Oak Park Hospital.

When was this NPI record last updated?

The NPPES record for Mary Walsh was last updated on January 5, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.