ALEXANDRA M WALSH M.D.
NPI 1750551420
Pediatrics - Pediatric Hematology-Oncology in Phoenix, AZ

Q: What is Alexandra Walsh's NPI number?

The NPI number for Alexandra Walsh is 1750551420. It was assigned to this individual provider in the NPPES registry on March 9, 2008. The provider is also known as Alexandra Maria Dickerman M.D..

Q: What is Alexandra Walsh's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Hematology-Oncology, with taxonomy code 2080P0207X.

Q: When was this NPI record last updated?

The NPPES record for Alexandra Walsh was last updated on March 30, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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 March 09, 2008PECOS EnrolledAccepts Medicare Assignment

1919 E THOMAS RD, AMBULATORY BLDG, PHOENIX, AZ 85016(602) 933-0920(602) 933-2492 Get Directions Write a Review

NPPES record last updated: March 30, 2018. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Mar 30, 2018, Apr 18, 2017 (2 updates tracked since 2017).

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About Alexandra M Walsh M.d. NPPES

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

ALEXANDRA M WALSH M.D. (NPI 1750551420) is an individual pediatric hematology-oncology provider in Phoenix, Arizona, licensed in Arizona (52881) and active in the NPI registry since March 2008. She is enrolled in Medicare PECOS and is a graduate of Ohio State University College Of Medicine (2002).

NPPES Registry Identity

NPI1750551420

Entity TypeIndividualFemale

Primary Taxonomy2080P0207X

Provider Legal NameALEXANDRA M WALSHCredential: M.D.

Location Address1919 E THOMAS RD, AMBULATORY BLDGPhoenix, AZ 85016-7710

Mailing Address3200 E Camelback Rd, Ste 250Phoenix, AZ 85018-2311 · (602) 933-1814

Phone(602) 933-0920

Fax(602) 933-2492

Sole ProprietorNo

Medical School CMSOhio State University College Of MedicineGraduated 2002

Enumeration DateMarch 9, 2008

Last NPPES UpdateMarch 30, 20182 updates tracked since enumeration

✔ NPI 1750551420 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Hematology-OncologyAllopathic & Osteopathic Physicians

Taxonomy Code2080P0207X

License✔ Licensed in AZ · 52881

Definition

A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.

Also ListedPediatricsTaxonomy 208000000X · License 52881 (AZ)

1919 E THOMAS RD, Phoenix, AZ 85016

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Other Names 1

Former Name (1)Alexandra Maria Dickerman M.d.

Other Identifiers 1

Medicaid625103AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona.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

Alexandra M Walsh M.d. 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 ID9032387287

PECOS Enrollment IDI20160908002494

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.

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