Individual provider Active NPI

Clyde Walrod, MD

  • Emergency Medicine Physician
  • Victoria, TX
National Provider Identifier
1235144676
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
F6160 Issued in TX
Practice address
2701 Hospital Dr
Victoria, TX 77901-5748
Phone
(361) 576-3680
Fax
(361) 576-4219
NPI assigned
Jul 31, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 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 F6160 TX Primary

Addresses

Primary practice location

2701 Hospital Dr
Victoria, TX 77901-5748

Mailing address

PO Box 4905
Victoria, TX 77903-4905
Phone (361) 576-3680

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20061113000479 TX Practitioner - Emergency MedicinePractitioner - Family Practice 5597763227 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: Family Practice
Education
University of Mississippi School of Medicine, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oleander Emergency Medicine Associates PAGroup PAC ID 1759544232, 23 clinicians
Elite Hospital Partners, PLLCGroup PAC ID 2062941057, 60 clinicians

Practice addresses (Care Compare)

2701 Hospital Dr
Victoria, TX 77901-5748
Phone (361) 573-9181

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.09 of 100Reported as group
Quality
89.89
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Oleander Emergency Medicine Associates PA Emergency Medicine CurrentSince Apr 23, 2012 Accepting new patients
Citizens Medical Center County of Victoria Past Accepting new patients

Locations

2701 Hospital Dr
Victoria, TX 77901
Phone (361) 573-9180

Organizations & group practices 3

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.

Hospital & facility affiliations 1

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": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235144676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4905",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779034905",
            "telephone_number": "361-576-3680",
            "fax_number": "361-576-4219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 HOSPITAL DR",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779015748",
            "telephone_number": "361-576-3680",
            "fax_number": "361-576-4219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALROD",
        "first_name": "CLYDE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "F6160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Victoria, TX

Sources for this page

Verify at the official NPI Registry.