WALKER INTERNAL MEDICINE CLINIC
NPI 1508082389
Specialist in Little Rock, AR
About Walker Internal Medicine Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WALKER INTERNAL MEDICINE CLINIC (NPI 1508082389) is a healthcare organization registered as a specialist in Little Rock, Arkansas and active in the NPI registry since April 2007. The organization holds a CLIA Waiver certificate valid through December 20, 2027 and lists Shandra Denice Burns, Team Coordinator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 2
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Walker Internal Medicine Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by December 31, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Walker Internal Medicine Clinic, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 04D0991887
Walker Internal Medicine Clinic PA · Little Rock, ARFrequently 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 Walker Internal Medicine Clinic PA's NPI number?
The NPI number for Walker Internal Medicine Clinic PA is 1508082389. It was assigned to this organization in the NPPES registry on April 18, 2007. The provider is doing business as Walker Internal Medicine Clinic.
Where is Walker Internal Medicine Clinic PA located?
Walker Internal Medicine Clinic PA is located at 9600 Lile Dr #220, Little Rock, AR 72205. The listed phone number is (501) 219-1028.
What is Walker Internal Medicine Clinic PA's specialty?
The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.
Is Walker Internal Medicine Clinic PA enrolled in Medicare?
Yes. Walker Internal Medicine Clinic PA is registered in the Medicare PECOS enrollment system.
When is Walker Internal Medicine Clinic PA's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Arkansas, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Walker Internal Medicine Clinic PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Walker Internal Medicine Clinic PA. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Walker Internal Medicine Clinic PA hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 04D0991887) is associated with this NPI, valid through December 20, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Walker Internal Medicine Clinic PA accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Walker Internal Medicine Clinic PA 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.
When was this NPI record last updated?
The NPPES record for Walker Internal Medicine Clinic PA was last updated on April 30, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
# Walker Internal Medicine Clinic · NPI 1508082389
Specialist organization in Little Rock, Arkansas. Organization record, active in the CMS NPPES registry since April 18, 2007.
## Identity
- **NPI:** 1508082389 (Entity type: Organization)
- **Enumerated:** April 18, 2007
- **Primary specialty:** Specialist · taxonomy 174400000X
- **Legal business name:** Walker Internal Medicine Clinic Pa
- **Organization subpart:** No
- **Authorized official:** Shandra Burns, TEAM COORDINATOR
## Practice location
- **Address:** 9600 LILE DR, #220, Little Rock, AR 72205
- **Phone:** (501) 219-1028 · **Fax:** (501) 219-1174
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** December 31, 2026 (Non-DME Part B, Arkansas, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Internal Medicine) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 30, 2009
- **Other identifiers:** Medicaid 145041002 (AR); Medicare PIN 5F071 (AR)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1508082389) · Data from the CMS NPPES public registry.