Individual provider Active NPI

Justin Alexander Walters, M.D.

  • Emergency Medicine Physician
  • Minot, ND
National Provider Identifier
1124264205
Registry record updated Dec 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
4301093012 Issued in MI
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

Updated by the provider on Dec 14, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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, VA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20140203000831 MN Practitioner - Emergency Medicine 6406029545 Reassigns benefits to 1 organization
I20160516000522 DC Practitioner - Emergency Medicine 6406029545 Reassigns benefits to 1 organization
I20170920002513 VA Practitioner - Emergency Medicine 6406029545 Reassigns benefits to 3 organizations

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
Emergency Coverage LLCGroup PAC ID 3072412592, 761 clinicians

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 100Reported as group
Quality
76.36
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301093012MIMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Medicine Services of VA, LLC Emergency Medicine CurrentSince Nov 16, 2024 Accepting new patients
Emergency Medicine Associates, P.a.,P.C. CurrentSince Jul 20, 2017 Accepting new patients
Emergency Medicine Associates P.a., P.C. Emergency Medicine CurrentSince Jul 20, 2017 Accepting new patients
Emergency Medicine Associates P.a., P.C. CurrentSince Jul 20, 2017 Accepting new patients
Emergency Coverage, LLC Emergency Medicine CurrentSince Aug 1, 2025 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 3

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": "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

Verify at the official NPI Registry.