Active NPI
Walter Peter Mutter, M.D.
- Nephrology Physician
- Newton, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 210130
- Practice address
- Newton Wellesley Physicians Nephrology
Newton Wellesley Hospital, Green 460
Newton, MA 20462 - Phone
- (617) 243-5420
- NPI assigned
- Mar 17, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 210130 | MA | |
| Nephrology Physician | 207RN0300X | 210130 | MA | Primary |
Addresses
Primary practice location
Newton Wellesley Physicians Nephrology
Newton Wellesley Hospital, Green 460
Newton, MA 20462
Mailing address
Newton Wellesley Hospital, Green 460
Newton Wellesley Physicians Nephrology
Newton, MA 20462
Phone (617) 243-5420
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| J24722 | Other | MA | BLUE CROSS BLUE SHEILD |
| 5594198 | Other | MA | FIRST HEALTH |
| 693019 | Other | MA | HARVARD PILGRIM HEALTHCAR |
| 0167100 | Medicaid | MA | |
| 210130 | Other | MA | TUFTS HEALTH PLAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nephrology
- Education
- University of Massachusetts Medical School, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
195 Worcester St
Primary Care of Wellesley
Wellesley, MA 02481-5568
Phone (617) 219-1510
2014 Washington St
Newton, MA 02462-1607
Phone (617) 243-6000
55 Fruit St
Boston, MA 02114-2696
Phone (617) 724-0287
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Massachusetts General Physicians Organization Inc | Internal Medicine | Current | Accepting new patients |
| The General Hospital Corporation | Current | Accepting new patients | |
| Newton-Wellesley Hospital | Current | Accepting new patients | |
| Mass General Brigham Medical Group Suburban Massachusetts Inc | Current | Accepting new patients |
Locations
55 Fruit St
Boston, MA 02114
55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967
2014 Washington St
Newtonville, MA 02462
Phone (617) 243-6000
800 Washington St
Norwood, MA 02062
Phone (781) 278-6264
Interoperability endpoints
- mutter.walter.nwh@direct.partners.masshiway.net
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.
-
- Family Medicine Physician
- Newton, MA
- NPI 1538191218
-
- Dermatology Physician
- Boston, MA
- NPI 1801874573
Internal Medicine
-
- General Acute Care Hospital
- Boston, MA
- NPI 1023049236
-
- General Acute Care Hospital
- Newton, MA
- NPI 1992737761
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Waltham, MA
- NPI 1922115831
Dialysis facility
-
- General Acute Care Hospital
- Boston, MA
- NPI 1790717650
-
- General Acute Care Hospital
- Boston, MA
- NPI 1578677811
-
- Psychiatric Hospital Unit
- Boston, MA
- NPI 1033121025
-
- General Acute Care Hospital
- Newton, MA
- NPI 1992737761
-
- General Acute Care Hospital
- Salem, MA
- NPI 1730121633
-
- General Acute Care Hospital
- Boston, MA
- NPI 1023049236
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1462492800000",
"number": "1104895556",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "NEWTON WELLESLEY HOSPITAL, GREEN 460",
"address_2": "NEWTON WELLESLEY PHYSICIANS NEPHROLOGY",
"city": "NEWTON",
"state": "MA",
"postal_code": "20462",
"telephone_number": "617-243-5420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "NEWTON WELLESLEY PHYSICIANS NEPHROLOGY",
"address_2": "NEWTON WELLESLEY HOSPITAL, GREEN 460",
"city": "NEWTON",
"state": "MA",
"postal_code": "20462",
"telephone_number": "617-243-5420"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUTTER",
"first_name": "WALTER",
"middle_name": "PETER",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-17",
"last_updated": "2016-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MA",
"license": "210130",
"primary": false
},
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "MA",
"license": "210130",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHEILD",
"identifier": "J24722",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH",
"identifier": "5594198",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM HEALTHCAR",
"identifier": "693019",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0167100",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS HEALTH PLAN",
"identifier": "210130",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Newton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.