Walter Rios, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

L5110 Issued in TX

Practice address

2601 Forest LN
Garland, TX 75042-6508

Phone

(972) 272-1632

Fax

(972) 272-5220

NPI assigned

Jun 30, 2006

Last updated

Apr 25, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Family Practice

Education

Other, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Centerwell Senior Primary Care TX PAGroup PAC ID 4789950247, 111 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/JHJGBD/Endpoint/JHJGBD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Centerwell Senior Primary Care (TX) PA

  dba CenterWell Senior Primary Care- Pasadena

  • Internal Medicine Physician
  • Pasadena, TX
  • NPI 1861959298
  Medicare reassignment Care Compare group
• Elite Interns PLLC

  • Primary Care Clinic/Center
  • Dallas, TX
  • NPI 1073968517
  Medicare reassignment NPD
• Grace Southern Medical Clinic, PLLC

  • Primary Care Clinic/Center
  • Dallas, TX
  • NPI 1821486358
  Medicare reassignment NPD
• Forest Lane Family Medicine, PA

  • Clinic/Center
  • Garland, TX
  • NPI 1851539209
  Authorized official Same address or phone
• Centerwell Senior Primary Care (TX) PA

  dba CenterWell Senior Primary Care- South Garland

  • Internal Medicine Physician
  • Garland, TX
  • NPI 1518689769

  Family Medicine

  NPD
• Centerwell Senior Primary Care (TX) PA

  dba CenterWell Senior Primary Care- DeSoto

  • Internal Medicine Physician
  • Desoto, TX
  • NPI 1689491581

  Family Medicine

  NPD

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398384000000",
    "number": "1205865722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 FOREST LN",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750426508",
            "telephone_number": "972-272-1632",
            "fax_number": "972-272-5220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 FOREST LN",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750426508",
            "telephone_number": "972-272-1632",
            "fax_number": "972-272-5220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIOS",
        "first_name": "WALTER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-30",
        "last_updated": "2014-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "L5110",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "157971601",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0020JU",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "157971602",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ride2Care LLC
• Ridgewood Medical Clinic
• Ridgewood Pharmacy LLC (Ridgewood Pharmacy)
• Alexandra Riggs, LPC ASSOCIATE
• Kameron Kyle Rios
• Ronald Gregg Ritchie, DC
• Jose Rolando Rivas, MD
• Leah Rachel Rives, BS, HIS
• RJB Clinica Familiar, PLLC (Su Clinica Familiar)
• RNB Consulting (Hands of Hope)

• Family Medicine Physician in Garland, TX
• Providers in Garland, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2014; 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.

Verify at the official NPI Registry.