JOHN JAMES WALSH MD-PHD
NPI 1649920760
Student in an Organized Health Care Education/Training Program in Waterbury, CT

Active since March 24, 2022PECOS Enrolled
56 FRANKLIN ST STE 1, WATERBURY, CT 06706(203) 709-6000 Get Directions Write a Review

NPPES record last updated: March 24, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About John James Walsh Md-phd NPPES

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

JOHN JAMES WALSH MD-PHD (NPI 1649920760) is an individual student in an organized health care education/training program in Waterbury, Connecticut, licensed in Connecticut (06-0646844) and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1649920760
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJOHN JAMES WALSHCredential: MD-PHD
Location Address56 FRANKLIN ST STE 1Waterbury, CT 06706-1281
Mailing Address670 Ellsworth AveNew Haven, CT 06511-1636 · (941) 538-8091
Sole ProprietorYes
Enumeration DateMarch 24, 2022
NPPES CertifiedMarch 24, 2022
NPI 1649920760 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
License Licensed in CT · 06-0646844
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
56 FRANKLIN ST STE 1, Waterbury, CT 06706

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

John James Walsh Md-phd 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.

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.

Student in an Organized Health Care Education/Training Program
56 FRANKLIN ST STE 1
WATERBURY, CT 06706
Student in an Organized Health Care Education/Training Program
56 FRANKLIN ST STE 1
WATERBURY, CT 06706
Nurse Anesthetist, Certified Registered
56 FRANKLIN ST STE 1
WATERBURY, CT 06706
Student in an Organized Health Care Education/Training Program
56 FRANKLIN ST STE 1
WATERBURY, CT 06706
Dietitian, Registered
56 FRANKLIN ST STE 1
WATERBURY, CT 06706
Social Worker
56 FRANKLIN ST STE 1
WATERBURY, CT 06706
Internal Medicine (Pulmonary Disease)
56 FRANKLIN ST STE 1
WATERBURY, CT 06706
Student in an Organized Health Care Education/Training Program
56 FRANKLIN ST STE 1
WATERBURY, CT 06706

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 John Walsh's NPI number?

The NPI number for John Walsh is 1649920760. It was assigned to this individual provider in the NPPES registry on March 24, 2022.

Where is John Walsh located?

John Walsh practices at 56 Franklin St Ste 1, Waterbury, CT 06706. The listed phone number is (203) 709-6000.

What is John Walsh's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is John Walsh enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for John Walsh was last updated on March 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.