NPIMap

Individual provider Active NPI

Walter L Fletscher, M.D.

  • Cardiovascular Disease Physician
  • Redding, CA
National Provider Identifier
1407879901
Registry record updated Aug 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
G48644 Issued in CA
Practice address
2510 Airpark Drive
Suite 302
Redding, CA 96001-2462
Phone
(530) 241-9966
Fax
(530) 241-9783
NPI assigned
Jul 25, 2006
Last updated
Aug 29, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X G48644 CA Primary

Addresses

Primary practice location

2510 Airpark Drive
Suite 302
Redding, CA 96001-2462

Mailing address

2510 Airpark Drive
Suite 302
Redding, CA 96001-2462
Phone (530) 241-9966

Other identifiers 1

IdentifierTypeStateIssuer
00G486440MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20101118000377 CA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 2567658412 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
University of South Alabama College of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mountain Communities Healthcare DistrictGroup PAC ID 9133227135, shared by 4 NPIs, 34 clinicians

Practice addresses (Care Compare)

2510 Airpark Dr
Suite 302
Redding, CA 96001-2462
Phone (530) 241-9966

60 Easter Ave
Weaverville, CA 96093-8054
Phone (530) 623-5541

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.44 of 100Reported as individual
Quality
90
Improvement activities
40
Cost
68.13

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G48644CAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain Communities Healthcare District CurrentSince Dec 19, 2023 Accepting new patients
Mountain Communities Healthcare District CurrentSince Dec 19, 2023 Accepting new patients
Mountain Communities Healthcare District Cardiovascular Disease Current Accepting new patients
Renown Regional Medical Center Past Accepting new patients
Mountain Communities Healthcare Dist Past Accepting new patients
Dignity Health Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: wlf109pcs@m1327.primeclinicalsystems.direct-ci.com

Organizations & group practices 7

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 7

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": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661731200000",
    "number": "1407879901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2510 AIRPARK DRIVE",
            "address_2": "SUITE 302",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960012462",
            "telephone_number": "530-241-9966",
            "fax_number": "530-241-9783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2510 AIRPARK DRIVE",
            "address_2": "SUITE 302",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960012462",
            "telephone_number": "530-241-9966",
            "fax_number": "530-241-9783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLETSCHER",
        "first_name": "WALTER",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2022-08-29",
        "certification_date": "2022-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "G48644",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G486440",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Redding, CA

Sources for this page

Verify at the official NPI Registry.