Individual provider Active NPI

Ray Walther, MD

  • Emergency Medicine Physician
  • Memphis, TN
National Provider Identifier
1194727073
Registry record updated Dec 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
13957 Issued in TN
Practice address
1265 Union Ave
Memphis, TN 38104-3415
Phone
(901) 516-7676
NPI assigned
Aug 11, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2007

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 13957 TN Primary

Addresses

Primary practice location

1265 Union Ave
Memphis, TN 38104-3415

Mailing address

8010 Stage Hills Blvd
Bartlett, TN 38133-4032
Phone (901) 291-2427

Other identifiers 1

IdentifierTypeStateIssuer
3886182MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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 1

Enrollment IDStateProvider typePAC IDDetails
I20040731000214 TN Practitioner - Emergency Medicine 3971573346 Reassigns benefits to 5 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Methodist North Emergency Physicians, PLLC Emergency Medicine CurrentSince Feb 4, 2024 Accepting new patients
Methodist University Emergency Physicians PLLC Emergency Medicine CurrentSince Feb 4, 2024 Accepting new patients
Carr PLLC Emergency Medicine CurrentSince Sep 1, 2015 Accepting new patients
Methodist South Emergency Physicians, PLLC Emergency Medicine CurrentSince Feb 4, 2024 Accepting new patients
Germantown Emergency Physicians, PLLC Emergency Medicine CurrentSince Feb 4, 2024 Accepting new patients
Methodist Healthcare - Memphis Hospitals Past Accepting new patients
C. Ferrell Varner MD, Inc. Emergency Medicine Past Accepting new patients
Methodist Healthcare - Memphis Hospitals Past Accepting new patients
Methodist Healthcare - Memphis Hospitals Past Accepting new patients

Locations

7691 Poplar Ave
Memphis, TN 38138
Phone (901) 516-1290

1300 Wesley Dr
Memphis, TN 38116
Phone (901) 516-3700

1265 Union Ave
Memphis, TN 38104
Phone (901) 516-2362

3960 New Covington Pike
Memphis, TN 38128
Phone (901) 516-5200

1265 Union Ave
#8E
Memphis, TN 38104
Phone (901) 726-0999

Interoperability endpoints

  • Direct secure messaging: rwalther32551@mlh.direct-ci.com

Organizations & group practices 9

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1123718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198800000000",
    "number": "1194727073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8010 STAGE HILLS BLVD",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381334032",
            "telephone_number": "901-291-2427",
            "fax_number": "901-379-0771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1265 UNION AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381043415",
            "telephone_number": "901-516-7676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTHER",
        "first_name": "RAY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-11",
        "last_updated": "2007-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TN",
            "license": "13957",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3886182",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.