Elaine Chiu Walters, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

P6108 Issued in TX

Practice address

3041 Churchill Dr Ste 300
Flower Mound, TX 75022-5906

Phone

(972) 691-1240

Fax

(972) 691-2073

NPI assigned

Apr 1, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Elaine Chiu Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: ewalters1685665@direct.texashealth.org
• Direct secure messaging: ewalters22033@direct.childrens.com

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.

• 18 And Under MD, PA

  • Pediatrics Physician
  • Flower Mound, TX
  • NPI 1295932325
  NPD (past)

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

{
    "created_epoch": "1270080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622505600000",
    "number": "1285959205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3041 CHURCHILL DR STE 300",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750225906",
            "telephone_number": "972-691-1240",
            "fax_number": "972-691-2073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3041 CHURCHILL DR STE 300",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750225906",
            "telephone_number": "972-691-1240",
            "fax_number": "972-691-2073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTERS",
        "first_name": "ELAINE",
        "middle_name": "CHIU",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-01",
        "last_updated": "2021-06-01",
        "certification_date": "2021-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "P6108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELAINE",
            "last_name": "CHIU",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Walgreen Co
• Walgreens
• Frances A Walker, PH.D.
• Anna Wallace, APRN
• Jennifer Walline, DPT
• Victoria Walters
• Li Wan, MD
• Kathryn Wandel, O.D.
• Jeannie Jin Wang, DMD
• Sandy Shann-Yuh Wang, DDS

• Pediatrics Physician in Flower Mound, TX
• Providers in Flower Mound, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.