Active NPI
Peter A Walts, MD
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Carmel, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- 01059506A
- Practice address
- 10590 N Meridian St # 105
Carmel, IN 46290-1028 - Phone
- (317) 583-7800
- NPI assigned
- Jul 12, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | 01059506A | IN | Primary |
Addresses
Primary practice location
10590 N Meridian St # 105
Carmel, IN 46290-1028
Mailing address
10590 N Meridian St # 105
Carmel, IN 46290-1028
Other practice location 1
8433 Harcourt Rd Ste 100
Indianapolis, IN 46260
Phone (317) 583-7600
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000341622 | Other | BCBS PIN | |
| 200510810 | Medicaid | IN | |
| P00145833 | Other | RAILROAD MEDICARE PIN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | peter.walts.1@7598.direct.athenahealth.com | St. Vincent Medical Group, Inc. |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiac Surgery
- Education
- Chicago College of Medicine and Surgery, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10580 N Meridian St
Carmel, IN 46290-1028
Phone (317) 583-5000
10590 N Meridian St
Carmel, IN 46290-1028
2001 W 86TH St
Indianapolis, IN 46260-1902
Phone (317) 338-2345
250 W 96TH St
Suite 520
Indianapolis, IN 46260-1317
8433 Harcourt Rd
Suite 100
Indianapolis, IN 46260-2193
Phone (317) 583-7600
Hospital & facility affiliations
- Elara Caring
- St Vincent Heart Center
- Ascension St Vincent Hospital
- Witham Health Services
- Hendricks Regional Health
- Riverview Health
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary artery bypass graft (CABG) | 60 |
| Pacemaker insertion or repair | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Vincent Medical Group, Inc. | Current | Accepting new patients | |
| St. Vincent Medical Group, Inc. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Current | Accepting new patients |
| St Vincent Medical Group Inc | Past | Accepting new patients | |
| Major Hospital | Past | Accepting new patients |
Locations
10590 N Meridian St
#105
Carmel, IN 46290
Phone (317) 583-5400
10590 N Meridian St
Carmel, IN 46290
Phone (317) 338-6666
10590 N Meridian St
Ste 105
Carmel, IN 46290
Phone (317) 583-7800
8402 Harcourt Rd
Ste 300
Indianapolis, IN 46260
Phone (317) 338-3100
8433 Harcourt Rd
Ste 100
Indianapolis, IN 46260
Phone (317) 583-7702
8333 Naab Rd
Ste 400
Indianapolis, IN 46260
Phone (317) 338-5066
8330 Naab Rd
Ste 135
Indianapolis, IN 46260
Phone (317) 415-6300
2525 W University Ave
Ste 502
Muncie, IN 47303
Phone (765) 286-5595
Interoperability endpoints
- pwalts420107@ecommunitydirect.com
- peter.walts.1@7598.direct.athenahealth.com
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Ascension St Vincent Heart Center | Hospital | Corporate Director | Jul 1, 2021 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Special Hospital
- Carmel, IN
- NPI 1982681748
Corporate Director
Organizations & group practices 4
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.
-
- Orthopaedic Surgery Physician
- Winchester, IN
- NPI 1144513375
Thoracic Surgery (Cardiothoracic Vascular Surgery)
-
- Internal Medicine Physician
- Carmel, IN
- NPI 1811881527
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
-
- Cardiovascular Disease Physician
- Indianapolis, IN
- NPI 1558686436
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Kokomo, IN
- NPI 1346255940
-
- General Acute Care Hospital
- Danville, IN
- NPI 1669475950
-
- General Acute Care Hospital
- Noblesville, IN
- NPI 1700883717
-
- Special Hospital
- Carmel, IN
- NPI 1982681748
-
- General Acute Care Hospital
- Indianapolis, IN
- NPI 1306898960
-
- General Acute Care Hospital
- Avon, IN
- NPI 1851833230
-
- General Acute Care Hospital
- Lebanon, IN
- NPI 1699757401
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653004800000",
"number": "1417982620",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10590 N MERIDIAN ST # 105",
"city": "CARMEL",
"state": "IN",
"postal_code": "462901028"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10590 N MERIDIAN ST # 105",
"city": "CARMEL",
"state": "IN",
"postal_code": "462901028",
"telephone_number": "317-583-7800"
}
],
"practiceLocations": [
{
"address_1": "8433 Harcourt Rd Ste 100",
"address_purpose": "LOCATION",
"city": "Indianapolis",
"state": "IN",
"postal_code": "46260",
"country_code": "US",
"telephone_number": "317-583-7600",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WALTS",
"first_name": "PETER",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-12",
"last_updated": "2022-05-20",
"certification_date": "2022-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "IN",
"license": "01059506A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PIN",
"identifier": "000000341622",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200510810",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE PIN",
"identifier": "P00145833",
"state": null
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "peter.walts.1@7598.direct.athenahealth.com",
"affiliation": "Y",
"affiliationName": "St. Vincent Medical Group, Inc.",
"address_1": "10590 N Meridian St # 105",
"city": "Carmel",
"state": "IN",
"country_code": "US",
"postal_code": "462901028",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Carmel, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.