NPIMap

Individual provider Active NPI

Danielle Walz, M.D.

  • Family Medicine Physician
  • San Antonio, TX
National Provider Identifier
1386844587
Registry record updated May 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
P1244 Issued in TX
Practice address
2455 NE Loop 410 Ste 245
San Antonio, TX 78217-5650
Phone
(210) 314-1122
NPI assigned
Jul 25, 2007
Last updated
May 20, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X P1244 TX Primary

Addresses

Primary practice location

2455 NE Loop 410 Ste 245
San Antonio, TX 78217-5650

Mailing address

2455 NE Loop 410 Ste 245
San Antonio, TX 78217-5650
Phone (210) 314-1122

Other practice location 1

4800 Fredericksburg Rd Ste 127
San Antonio, TX 78229
Phone (210) 468-0800

Other practice location 2

4800 Fredericksburg Rd Ste 127
San Antonio, TX 78229
Phone (210) 468-0800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111122000818 TX Practitioner - Family Practice 0345414603 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rise Up Rehab, LLCGroup PAC ID 3274861497, 118 clinicians
Bloom Physician Housecalls PAGroup PAC ID 9032653563, 12 clinicians

Practice addresses (Care Compare)

16400 Blanco Rd
San Antonio, TX 78232-1902
Phone (210) 572-4954

8000 W Interstate 10
Suite 201
San Antonio, TX 78230-3879
Phone (720) 923-1250

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bloom Physician Housecalls PA Family Medicine CurrentSince Nov 1, 2024 Accepting new patients
Physician Housecalls LLC Past Accepting new patients
House Call Doctors Texas PLLC Family Medicine Past Accepting new patients

Locations

12600 W Colfax Ave
Ste B200
Lakewood, CO 80215
Phone (303) 459-4000

8000 W Interstate 10
Ste 201
San Antonio, TX 78230
Phone (210) 433-9922

8000 W Interstate 10
Ste 240
San Antonio, TX 78230
Phone (210) 903-0000

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CICGBD

Organizations & group practices 5

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 9

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": "1185321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621468800000",
    "number": "1386844587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2455 NE LOOP 410 STE 245",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782175650",
            "telephone_number": "210-314-1122",
            "fax_number": "210-314-1109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2455 NE LOOP 410 STE 245",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782175650",
            "telephone_number": "210-314-1122"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4800 Fredericksburg Rd Ste 127",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "78229",
            "country_code": "US",
            "telephone_number": "210-468-0800",
            "fax_number": "210-733-8649",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4800 Fredericksburg Rd Ste 127",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "78229",
            "country_code": "US",
            "telephone_number": "210-468-0800",
            "fax_number": "210-733-8649",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALZ",
        "first_name": "DANIELLE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-25",
        "last_updated": "2021-05-20",
        "certification_date": "2021-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "P1244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.