SIDNEY P. WALKER (M.D.) – Diagnostic Radiology Physician, NPI 1619930203
Diagnostic Radiology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for SIDNEY P. WALKER (M.D.)
PO BOX 1450 NW 6035
MINNEAPOLIS, MN 554856035
Phone: (800) 634-4064
Fax: (952) 513-6880
Type: Mailing
1611 NW 12TH AVE
MIAMI, FL 331361005
Phone: (305) 243-5512
Fax: (305) 243-4613
Type: Location
1400 NW 12th Ave
Miami, FL 331361003
Phone: (305) 243-5512
Type: Location
1475 NW 12th Ave
Miami, FL 331361002
Phone: (305) 243-5512
Fax: (305) 243-4613
Type: Location
900 NW 17th St Rm 65
Miami, FL 331361119
Phone: (305) 243-5512
Type: Location
611 W PARK ST
URBANA, IL 618012529
Phone:
Type: Mailing
Park Place East, 5775, Wayzata Boulevard, Blackstone, Saint Louis Park, Hennepin County, Minnesota, 55416, United States
SUITE 190
SAINT LOUIS PARK, MN 554162627
Phone: (952) 541-1840
Fax: (952) 513-6880
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2023-05-22
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20230522001519 | I | Diagnostic Radiology | FL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 4,560 | 57 | $0 |
| 74018 | X-ray of abdomen, 1 view | 163 | 113 | $0 |
| 74177 | Ct scan of abdomen and pelvis with contrast | 137 | 136 | $0 |
| 76770 | Complete ultrasound scan behind abdominal cavity | 86 | 86 | $0 |
| 76705 | Limited ultrasound scan of abdomen | 81 | 79 | $0 |
Insurance plans in this area (ZIP 55485)
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