Douglas Walled, MD - Medicare Diagnostic Radiology in Albany, NY

Douglas Walled, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Albany, New York. He went to Yale University School Of Medicine and graduated in 2006 and has 18 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Albany Advanced Imaging Pllc, Ellis Hospital, Northeast Medical Imaging Pc, St. Peter's Health Partners Medical Associates, P.c. and his current practice location is 315 So Manning Blvd, Sph Medical Imaging, Albany, New York. You can reach out to his office (for appointments etc.) via phone at (518) 525-1550.

Douglas Walled is licensed to practice in New York (license number 265496) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1235377334.

Contact Information

Douglas Walled, MD
315 So Manning Blvd, Sph Medical Imaging,
Albany, NY 12208
(518) 525-1550
Not Available

Map and Direction




Physician's Profile

Full NameDouglas Walled
GenderMale
SpecialityDiagnostic Radiology
Experience18 Years
Location315 So Manning Blvd, Albany, New York
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Douglas Walled attended and graduated from Yale University School Of Medicine in 2006
  NPI Data:
  • NPI Number: 1235377334
  • Provider Enumeration Date: 01/27/2009
  • Last Update Date: 05/27/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 5092992891
  • Enrollment ID: I20130325000554

Medical Identifiers

Medical identifiers for Douglas Walled such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1235377334NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology 265496 (New York)Primary
2085R0202XRadiology - Diagnostic Radiology 049745 (Connecticut)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Peter's HospitalAlbany, NYHospital
Samaritan HospitalTroy, NYHospital
Ellis HospitalSchenectady, NYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Albany Advanced Imaging Pllc115330882022
Ellis Hospital5890607410222
Northeast Medical Imaging Pc115331072720
St. Peter's Health Partners Medical Associates, P.c.6103061189393

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Douglas Walled allows following entities to bill medicare on his behalf.
Entity NameEllis Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487644993
PECOS PAC ID: 5890607410
Enrollment ID: O20031103000406
Entity NameNortheast Medical Imaging Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396720140
PECOS PAC ID: 1153310727
Enrollment ID: O20040510000121
Entity NameAlbany Advanced Imaging Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1871578898
PECOS PAC ID: 1153308820
Enrollment ID: O20040630000901
Entity NameSt. Peter's Health Partners Medical Associates, P.c.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750626834
PECOS PAC ID: 6103061189
Enrollment ID: O20130321000567

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Douglas Walled is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Douglas Walled, MD
Po Box 14890,
Albany, NY 12212-4890

Ph: () -
Douglas Walled, MD
315 So Manning Blvd, Sph Medical Imaging,
Albany, NY 12208

Ph: (518) 525-1550

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.