Active NPI
Beatrix Melissa Walters, MD
- Vascular Surgery Physician
- York, PA
National Provider Identifier
1154825164
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- MD496439
- Practice address
- 30 Monument Rd Ste 1100
York, PA 17403-5024 - Phone
- (717) 851-6454
- NPI assigned
- Mar 23, 2018
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | MD496439 | PA | Primary |
Addresses
Primary practice location
30 Monument Rd Ste 1100
York, PA 17403-5024
Mailing address
601 Memory LN
York, PA 17402-2231
Phone (717) 851-1405
Other practice location 1
1430 Tulane Ave Dept Of
New Orleans, LA 70112-2632
Phone (504) 988-2306
Other practice location 2
2900 Carlisle Pike
New Oxford, PA 17350-8426
Phone (717) 851-8426
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11592 | GA | MD | Prosthodontist |
Interoperability endpoints
- bwalters51865@northwell.direct-ci.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1521763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787616000000",
"number": "1154825164",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 MEMORY LN",
"city": "YORK",
"state": "PA",
"postal_code": "174022231",
"telephone_number": "717-851-1405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 MONUMENT RD STE 1100",
"city": "YORK",
"state": "PA",
"postal_code": "174035024",
"telephone_number": "717-851-6454"
}
],
"practiceLocations": [
{
"address_1": "1430 Tulane Ave Dept Of",
"address_purpose": "LOCATION",
"city": "New Orleans",
"state": "LA",
"postal_code": "701122632",
"country_code": "US",
"telephone_number": "504-988-2306",
"fax_number": "504-988-1882",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2900 Carlisle Pike",
"address_purpose": "LOCATION",
"city": "New Oxford",
"state": "PA",
"postal_code": "173508426",
"country_code": "US",
"telephone_number": "717-851-8426",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WALTERS",
"first_name": "BEATRIX",
"middle_name": "MELISSA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-03-23",
"last_updated": "2026-08-25",
"certification_date": "2026-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "PA",
"license": "MD496439",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in York, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.