Individual provider Active NPI

Walter Harry Culver, M.D.

  • Internal Medicine Physician
  • Rochester Hills, MI
National Provider Identifier
1346240918
Registry record updated Jan 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
WC058404 Issued in MI
Practice address
1854 W Auburn Rd
Suite 100a
Rochester Hills, MI 48309-3868
Phone
(248) 696-3170
Fax
(248) 696-3175
NPI assigned
Jul 26, 2005
Last updated
Jan 15, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X WC058404 MI Primary
Pediatrics Physician 208000000X WC058404 MI

Addresses

Primary practice location

1854 W Auburn Rd
Suite 100a
Rochester Hills, MI 48309-3868

Mailing address

1854 W Auburn Rd
Suite 100a
Rochester Hills, MI 48309-3868
Phone (248) 696-3170

Other identifiers 1

IdentifierTypeStateIssuer
3173777MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20080305000712 MI Practitioner - Internal MedicinePractitioner - Pediatric Medicine 7810072568 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pediatric Medicine
Education
Wayne State University School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Iha Ooma Primary LLCGroup PAC ID 7012316664, 45 clinicians

Practice addresses (Care Compare)

1854 W Auburn Rd
100A Iha Rochester Hills Primary Care
Rochester Hills, MI 48309-3868
Phone (248) 696-3170

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
WC058404MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Iha Ooma Primary LLC Internal Medicine CurrentSince Aug 1, 2021 Accepting new patients
Iha Ooma Primary LLC Internal Medicine Current Accepting new patients
Iha Ooma Primary LLC Internal Medicine CurrentSince Aug 1, 2021 Accepting new patients

Locations

24 Frank Lloyd Wright Dr
Ann Arbor, MI 48105
Phone (734) 930-7400

1375 S Lapeer Rd
Ste 210
Lake Orion, MI 48360
Phone (248) 693-5700

1854 W Auburn Rd
Ste 100A
Rochester Hills, MI 48309
Phone (248) 696-3170

Interoperability endpoints

  • Direct secure messaging: wculver32467@direct.trinity-health.org

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 2

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": "1122336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389744000000",
    "number": "1346240918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1854 W AUBURN RD",
            "address_2": "SUITE 100A",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483093868",
            "telephone_number": "248-696-3170",
            "fax_number": "248-696-3175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1854 W AUBURN RD",
            "address_2": "SUITE 100A",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483093868",
            "telephone_number": "248-696-3170",
            "fax_number": "248-696-3175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CULVER",
        "first_name": "WALTER",
        "middle_name": "HARRY",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-26",
        "last_updated": "2014-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "WC058404",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "WC058404",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3173777",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester Hills, MI

Sources for this page

Verify at the official NPI Registry.