Active NPI
Ishmeet Walia, MD
- Nephrology Physician
- Orange City, FL
National Provider Identifier
1174840862
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- ME166024
- Practice address
- 2877 Wellness Ave
Orange City, FL 32763-8396 - Phone
- (386) 668-4650
- Fax
- (386) 668-4649
- NPI assigned
- Apr 21, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | ME166024 | FL | Primary |
Addresses
Primary practice location
2877 Wellness Ave
Orange City, FL 32763-8396
Mailing address
2877 Wellness Ave
Orange City, FL 32763-8396
Phone (386) 668-4650
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150622001736 | TX | Practitioner - Nephrology | 9133430895 | Reassigns benefits to 1 organization |
| I20240326002173 | FL | Practitioner - Nephrology | 9133430895 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nephrology
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2877 Wellness Ave
Orange City, FL 32763-8396
Phone (386) 668-4650
Hospital & facility affiliations
- Adventhealth Fish Memorial
- Adventhealth Deland
- Central Florida Lake Monroe Hospital
- Halifax Health /Uf Health Medical Center of Delton
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.03 of 100
- Quality
- 79.83
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.02
Merit-based Incentive Payment System (MIPS)
- Final score
- 78.51 of 100
- Quality
- 63.02
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 65.34
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME166024 | FL | MD | Nephrology Physician |
Practice roles (4 of 6)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Kidney and Hypertension Specialists PA | Current | Accepting new patients | |
| Hendrick Medical Center | Current | Accepting new patients | |
| Hendrick Provider Network | Current | Accepting new patients | |
| Hendrick Provider Network | Current | Accepting new patients |
Locations
2877 Wellness Ave
Orange City, FL 32763
Phone (386) 668-4650
1904 Pine St
Ste 4A
Abilene, TX 79601
Phone (325) 437-4020
1210 N 18th St
Abilene, TX 79601
Phone (325) 670-4020
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- ishmeetwalia@hmc.allscriptsdirect.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.
-
- General Acute Care Hospital
- Abilene, TX
- NPI 1528064649
-
- Rural Health Clinic/Center
- San Saba, TX
- NPI 1346044401
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Sanford, FL
- NPI 1285681908
Hospital
-
- General Acute Care Hospital
- Orange City, FL
- NPI 1700978558
Hospital
-
- Internal Medicine Physician
- Orange City, FL
- NPI 1902095078
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1271808000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720742400000",
"number": "1174840862",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2877 WELLNESS AVE",
"city": "ORANGE CITY",
"state": "FL",
"postal_code": "327638396",
"telephone_number": "386-668-4650",
"fax_number": "386-668-4649"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2877 WELLNESS AVE",
"city": "ORANGE CITY",
"state": "FL",
"postal_code": "327638396",
"telephone_number": "386-668-4650",
"fax_number": "386-668-4649"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALIA",
"first_name": "ISHMEET",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-04-21",
"last_updated": "2024-07-12",
"certification_date": "2024-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "FL",
"license": "ME166024",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orange City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2024; 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.