Individual provider Active NPI

Courtney Walters, M.D,

  • Obstetrics & Gynecology Physician
  • Fort Worth, TX
National Provider Identifier
1063495554
Registry record updated Aug 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
L1589 Issued in TX
Practice address
3025 N Tarrant Pkwy Ste 150
Fort Worth, TX 76177-8633
Phone
(817) 416-2229
Fax
(817) 416-3667
NPI assigned
Nov 29, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X L1589 TX Primary

Addresses

Primary practice location

3025 N Tarrant Pkwy Ste 150
Fort Worth, TX 76177-8633

Mailing address

3025 N Tarrant Pkwy Ste 150
Fort Worth, TX 76177-8633
Phone (817) 416-2229

Other identifiers 2

IdentifierTypeStateIssuer
7417349OtherTXAETNA
8G5671OtherTXBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100902000906 TX Practitioner - Obstetrics/Gynecology 5496790370 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Texas Tech University Health Science Center School of Medicine, 1998
Medicare assignment
May accept Medicare assignment
Group practices
Macarthur Medical Center PLLCGroup PAC ID 8426102625, 26 clinicians
Women'S Integrated Healthcare, P.a.Group PAC ID 9234174111, 4 clinicians

Practice addresses (Care Compare)

3025 N Tarrant Pkwy
Suite 150
Fort Worth, TX 76177-8633
Phone (972) 256-3700

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
L1589TXMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Women'S Integrated Healthcare, P.a. Obstetrics & Gynecology CurrentSince Aug 16, 2018 Accepting new patients
Macarthur Medical Center, PLLC Obstetrics & Gynecology CurrentSince Jan 1, 2025 Accepting new patients
Macarthur Medical Center, PLLC Obstetrics & Gynecology CurrentSince Jan 1, 2025 Accepting new patients
North Texas - Mca LLC Past Accepting new patients

Locations

3025 N Tarrant Pkwy
Ste 150
Fort Worth, TX 76177
Phone (817) 416-2229

1625 Lancaster Dr
Grapevine, TX 76051
Phone (214) 915-8502

3501 N MacArthur Blvd
Ste 400
Irving, TX 75062
Phone (972) 594-0100

245 W State Highway 114
Ste 330
Southlake, TX 76092
Phone (817) 416-2229

Interoperability endpoints

  • Direct secure messaging: courtney.walters@wihcare.directbygreenway.com
  • FHIR API: https://api.platform.athenahealth.com/8654/brand/1/csg/1/fhir/r4
  • Direct secure messaging: courtney.walters.1@8654.direct.athenahealth.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1133222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629676800000",
    "number": "1063495554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3025 N TARRANT PKWY STE 150",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761778633",
            "telephone_number": "817-416-2229",
            "fax_number": "817-416-3667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3025 N TARRANT PKWY STE 150",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761778633",
            "telephone_number": "817-416-2229",
            "fax_number": "817-416-3667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTERS",
        "first_name": "COURTNEY",
        "credential": "M.D,",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-29",
        "last_updated": "2021-08-23",
        "certification_date": "2021-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "L1589",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7417349",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8G5671",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.