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KISSA WALKER DO
NPI 1932725165
Student in an Organized Health Care Education/Training Program in Philadelphia, PA

Active since June 23, 2020PECOS EnrolledAccepts Medicare Assignment
10800 KNIGHTS RD, PHILADELPHIA, PA 19114(215) 612-5161 Get Directions Write a Review

NPPES record last updated: June 23, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Kissa Walker Do NPPES

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

KISSA WALKER DO (NPI 1932725165) is an individual student in an organized health care education/training program in Philadelphia, Pennsylvania, licensed in Pennsylvania (OT020399) and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS, is affiliated with Jefferson Health- Northeast, and is a graduate of Philadelphia College Of Osteopathic Medicine (2020).

NPPES Registry Identity

NPI1932725165
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameKISSA WALKERCredential: DO
Location Address10800 KNIGHTS RDPhiladelphia, PA 19114-4200
Mailing Address10800 Knights RdPhiladelphia, PA 19114-4200 · (215) 612-5161
Phone(215) 612-5161
Sole ProprietorNo
Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 2020
Enumeration DateJune 23, 2020
NPPES CertifiedJune 23, 2020
✔ NPI 1932725165 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in PA · OT020399
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.
10800 KNIGHTS RD, Philadelphia, PA 19114
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kissa Walker Do 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 ID143643759
PECOS Enrollment IDI20231218001769
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.

Medicare Billing Reassignment

Medicare enrollment records show Kissa Walker reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Aria Health Physician Services
Same address
Hematology & Oncology
10800 KNIGHTS RD FL 3
Philadelphia, PA 19114
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 490 clinicians in this Medicare group
NPI 1942471024 (215) 890-3030

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 6

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.

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.
111 services66 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.
80 services73 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
36 services36 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
17 services17 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
15 services15 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
14 services13 patients

Hospital Affiliations CMS Care Compare

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

Jefferson Health- Northeast

Acute Care Hospitals · Philadelphia, PA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390115
Location10800 Knights RoadPhiladelphia, PA 19114 · Philadelphia 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.

MANSI SHETH DO
Student in an Organized Health Care Education/Training Program
10800 KNIGHTS RD
PHILADELPHIA, PA 19114
Philadelphia County (215) 612-5161
CHERYL LYNNE GEE-MAURER CRNP
Nurse Practitioner (Primary Care)
10800 KNIGHTS RD
PHILADELPHIA, PA 19114
Philadelphia County (215) 612-4000
HEATHER MOORE RN
Nurse Anesthetist, Certified Registered
10800 KNIGHTS RD
PHILADELPHIA, PA 19114
Philadelphia County (215) 612-4000
IAN LUMSDEN PA-C
Surgery (Trauma Surgery)
10800 KNIGHTS RD
PHILADELPHIA, PA 19114
Philadelphia County (215) 612-4064
PETER J GRELLA
Student in an Organized Health Care Education/Training Program
10800 KNIGHTS RD
PHILADELPHIA, PA 19114
Philadelphia County (215) 612-5161
DR. KRISHNA KOTHAMASU DO
Student in an Organized Health Care Education/Training Program
10800 KNIGHTS RD
PHILADELPHIA, PA 19114
Philadelphia County (215) 612-4000
GRETCHEN DAWN OVERTON DPM
Student in an Organized Health Care Education/Training Program
10800 KNIGHTS RD
PHILADELPHIA, PA 19114
Philadelphia County (215) 612-5161
MS. BONNIE VITTI-HUOT PA-C
Physician Assistant
10800 KNIGHTS RD
PHILADELPHIA, PA 19114
Philadelphia County (215) 612-4000

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 Kissa Walker's NPI number?

The NPI number for Kissa Walker is 1932725165. It was assigned to this individual provider in the NPPES registry on June 23, 2020.

Where is Kissa Walker located?

Kissa Walker practices at 10800 Knights Rd, Philadelphia, PA 19114. The listed phone number is (215) 612-5161.

What is Kissa Walker's specialty?

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

Is Kissa Walker enrolled in Medicare?

Yes. Kissa Walker 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.

Which organization bills Medicare for Kissa Walker's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kissa Walker reassigns Medicare benefits to Aria Health Physician Services (Philadelphia, PA). The 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 Kissa Walker's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Kissa Walker affiliated with any hospitals?

According to CMS data, Kissa Walker is affiliated with Jefferson Health- Northeast.

When was this NPI record last updated?

The NPPES record for Kissa Walker was last updated on June 23, 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.