Dustin Laray Walter, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

E-16655 Issued in AR

Practice address

2037 W Main St
Cabot, AR 72023-7479

Phone

(501) 843-4555

Fax

(501) 743-1550

NPI assigned

Mar 20, 2019

Last updated

Jun 28, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

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

Internal MedicineAlso: Pediatric Medicine

Education

University of Arkansas College of Medicine, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Arkansas Central Primary Care PLLCGroup PAC ID 8729142682, 22 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Baptist Health Home Health-LR Home health agency, Little Rock, AR, CCN 047090
• Baptist Health Medical Center North Little Rock Hospital, North Little Rock, AR, CCN 040036

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Arkansas Central Primary Care PLLC

  dba Cabot Medical Care

  • Family Medicine Physician
  • Cabot, AR
  • NPI 1881848257

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• Arkansas Central Primary Care, PLLC

  dba Jacksonville Medical Care

  • Family Medicine Physician
  • Jacksonville, AR
  • NPI 1396996740
  NPD
• Physicians Network Inc Dba Cabot Medical Clinic

  dba Cabot Medical Clinic

  • Family Medicine Physician
  • Cabot, AR
  • NPI 1629032289
  NPD (past)
• Physicians Network Inc.

  dba PNI dba JACKSONVILLE MEDICAL CLINIC

  • Family Medicine Physician
  • Jacksonville, AR
  • NPI 1689679169

  Internal Medicine

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Baptist Health

  dba Baptist Home Health Network

  • Home Health Agency
  • Little Rock, AR
  • NPI 1134225451
  Care Compare affiliation
• Baptist Health

  dba Baptist Health Medical Center-North Little Rock

  • General Acute Care Hospital
  • North Little Rock, AR
  • NPI 1497790042
  Care Compare affiliation

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

{
    "created_epoch": "1553040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687910400000",
    "number": "1295295806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2037 W MAIN ST",
            "city": "CABOT",
            "state": "AR",
            "postal_code": "720237479",
            "telephone_number": "501-843-4555",
            "fax_number": "501-743-1550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2037 W MAIN ST",
            "city": "CABOT",
            "state": "AR",
            "postal_code": "720237479",
            "telephone_number": "501-843-4555",
            "fax_number": "501-743-1550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTER",
        "first_name": "DUSTIN",
        "middle_name": "LARAY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-20",
        "last_updated": "2023-06-28",
        "certification_date": "2023-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AR",
            "license": "E-16655",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AR",
            "license": "E-16655",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindie M Walker, PT
• Tanya Leigh Walker, APRN
• David Wallies
• Walmart Inc. (Walmart Pharmacy 10-2587)
• Walmart Inc. (Walmart Pharmacy 10-6975)
• Lori Anne Warhurst, LMSW
• Molly Watkins
• Melanie Lynne Watson
• Malia Watts
• Weathers Developmental & Behavioral Therapy

• Internal Medicine Physician in Cabot, AR
• Providers in Cabot, AR by specialty
• Internal Medicine Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2023; 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.