Active NPI
Justin Alexander Walters, M.D.
- Emergency Medicine Physician
- Minot, ND
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 4301093012
- Practice address
- #1 Burdick Expy W
Minot, ND 58701-4406 - Phone
- (701) 857-5260
- Fax
- (701) 857-3260
- NPI assigned
- Dec 19, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 4301093012 | MI | Primary |
Addresses
Primary practice location
#1 Burdick Expy W
Minot, ND 58701-4406
Mailing address
PO Box 5010
Minot, ND 58702-5010
Phone (701) 857-5650
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN, DC, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1602 Skipwith Rd
Richmond, VA 23229-5205
Phone (804) 289-4500
1850 Town Ctr Pkwy
Reston, VA 20190-3204
Phone (240) 686-2300
24440 Stone Springs Blvd
Dulles, VA 20166-2247
Phone (240) 686-2300
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.6 of 100
- Quality
- 76.36
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301093012 | MI | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Medicine Services of VA, LLC | Emergency Medicine | Current | Accepting new patients |
| Emergency Medicine Associates, P.a.,P.C. | Current | Accepting new patients | |
| Emergency Medicine Associates P.a., P.C. | Emergency Medicine | Current | Accepting new patients |
| Emergency Medicine Associates P.a., P.C. | Current | Accepting new patients | |
| Emergency Coverage, LLC | Emergency Medicine | Current | Accepting new patients |
Locations
20010 Century Blvd
Ste 200
Germantown, MD 20874
1701 N George Mason Dr
Arlington, VA 22205
Phone (703) 558-5000
3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395
100 Fairview Dr
Franklin, VA 23851
Phone (757) 516-1153
4600 Spotsylvania Pkwy
Fredericksburg, VA 22408
Phone (540) 498-4000
15225 Heathcote Blvd
Haymarket, VA 20169
Phone (571) 284-1000
8700 Sudley Rd
Manassas, VA 20110
Phone (703) 369-8000
1850 Town Center Pkwy
Reston, VA 20190
Phone (703) 478-0922
1602 Skipwith Rd
Richmond, VA 23229
Phone (804) 289-4500
24440 Stone Springs Blvd
Sterling, VA 20166
Phone (571) 206-8696
Interoperability endpoints
- jwalters514434@direct.healthsystem.virginia.edu
Organizations & group practices 6
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.
-
- Internal Medicine Physician
- Dulles, VA
- NPI 1376917070
-
- Emergency Medicine Physician
- Falls Church, VA
- NPI 1134117393
DC
-
- Emergency Medicine Physician
- Fredericksburg, VA
- NPI 1992402069
-
- Emergency Medicine Physician
- Minneapolis, MN
- NPI 1811077175
-
- Internal Medicine Physician
- Culpeper, VA
- NPI 1881559102
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Dulles, VA
- NPI 1972904738
-
- General Acute Care Hospital
- Reston, VA
- NPI 1053363853
-
- General Acute Care Hospital
- Harrisonburg, VA
- NPI 1780694372
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1229644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323820800000",
"number": "1124264205",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5010",
"city": "MINOT",
"state": "ND",
"postal_code": "587025010",
"telephone_number": "701-857-5650",
"fax_number": "701-857-5031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "#1 BURDICK EXPY W",
"city": "MINOT",
"state": "ND",
"postal_code": "587014406",
"telephone_number": "701-857-5260",
"fax_number": "701-857-3260"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALTERS",
"first_name": "JUSTIN",
"middle_name": "ALEXANDER",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-12-19",
"last_updated": "2011-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MI",
"license": "4301093012",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Minot, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2011; 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.