Individual provider Active NPI

Jay R Walther, MD

  • Dermatology Physician
  • Harlingen, TX
National Provider Identifier
1245230655
Registry record updated Aug 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
G2301 Issued in TX
Practice address
628 N Ed Carey Dr
Harlingen, TX 78550-7912
Phone
(956) 423-1121
Fax
(956) 423-1202
NPI assigned
Jul 28, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X G2301 TX Primary

Addresses

Primary practice location

628 N Ed Carey Dr
Harlingen, TX 78550-7912

Mailing address

628 N Ed Carey Dr
Harlingen, TX 78550-7912
Phone (956) 423-1121

Other identifiers 1

IdentifierTypeStateIssuer
128587602MedicaidTX

Other names 1

  • Dr. Jay R Walther Professional name

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
I20101004001088 TX Practitioner - Dermatology 6608784004 Practice locations: Harlingen, TX

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Texas Southwestern Medical School at Dallas, 1970
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

628 N Ed Carey Dr
Harlingen, TX 78550-7912
Phone (956) 423-1121

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision25
Removal of tissue15
Removal of skin lesions1744
Removal of nail tissue1-10
Removal or shaving of skin growth114
Skin biopsy378

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G2301TXMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rural Clinics of South Texas, LLC Past Accepting new patients

Organizations & group practices 1

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": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280880000000",
    "number": "1245230655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "628 N ED CAREY DR",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785507912",
            "telephone_number": "956-423-1121",
            "fax_number": "956-423-1202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "628 N ED CAREY DR",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785507912",
            "telephone_number": "956-423-1121",
            "fax_number": "956-423-1202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTHER",
        "first_name": "JAY",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-28",
        "last_updated": "2010-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "G2301",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "128587602",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAY",
            "last_name": "WALTHER",
            "middle_name": "R",
            "prefix": "DR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Harlingen, TX

Sources for this page

Verify at the official NPI Registry.