Active NPI
Walter Aaron Dimmitt, M.D.
- Cardiovascular Disease Physician
- Washington, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 2005026722
- Practice address
- 901 Patients First Dr Ste 2500
Washington, MO 63090-4700 - Phone
- (636) 239-2711
- NPI assigned
- Oct 16, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 036124039 | IL | |
| Cardiovascular Disease Physician | 207RC0000X | 2005026722 | MO | Primary |
Addresses
Primary practice location
901 Patients First Dr Ste 2500
Washington, MO 63090-4700
Mailing address
901 Patients First Dr Ste 2500
Washington, MO 63090-4700
Phone (636) 239-2711
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060227000523 | MO | Practitioner - Cardiovascular Disease (Cardiology) | 6709892888 | Reassigns benefits to 3 organizations |
| I20090810000440 | IL | Practitioner - Cardiovascular Disease (Cardiology) | 6709892888 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Saint Louis University School of Medicine, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mercy Clinic Heart and Vascular LLC
Practice addresses (Care Compare)
901 Patients 1St Dr
Suite 2500
Washington, MO 63090-4700
Phone (314) 251-1700
Hospital & facility affiliations
- Mercy Hospital Washington
- Mercy Hospital St Louis
- Mercy Hospital Lincoln
- Missouri Baptist Sullivan Hospital
- Hermann Area District Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Varicose vein removal | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036124039 | IL | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Romtherapy Inc | Cardiovascular Disease | Current | Accepting new patients |
| Mercy Clinic Heart and Vascular, LLC | Cardiovascular Disease | Current | Accepting new patients |
| Fairview Heights Medical Group SC | Current | Accepting new patients | |
| Fairview Heights Medical Group SC | Current | Accepting new patients | |
| Mercy Clinic Cardiovascular and Thoracic Surgery, LLC | Past | Accepting new patients | |
| Ozarks Medical Center | Past | Accepting new patients |
Locations
1 Memorial Dr
Alton, IL 62002
Phone (618) 463-7240
6800 State Route 162
Maryville, IL 62062
Phone (618) 288-4095
1607 Manufacturers Dr
Fenton, MO 63026
1225 Graham Rd
Ste C-2310
Florissant, MO 63031
Phone (314) 953-6300
625 S New Ballas Rd
Ste 2015
Saint Louis, MO 63141
Phone (314) 251-1775
670 Mason Ridge Center Dr
Ste 300
Saint Louis, MO 63141
Phone (314) 953-8250
10012 Kennerly Rd
Ste 202
Saint Louis, MO 63128
Phone (314) 692-2807
11155 Dunn Rd
Ste 109N
Saint Louis, MO 63136
Phone (314) 837-3784
901 Patients First Dr
#2500
Washington, MO 63090
901 Patients First Dr
Ste 2500
Washington, MO 63090
Interoperability endpoints
- wdimmitt11238@direct.carenet.org
Organizations & group practices 6
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.
-
- Cardiovascular Disease Physician
- Saint Louis, MO
- NPI 1932176401
Cardiovascular Disease, MO
-
- Multi-Specialty Clinic/Center
- Saint Louis, MO
- NPI 1679503668
IL, MO
-
- Cardiovascular Disease Physician
- Brookfield, CT
- NPI 1285380360
Cardiovascular Disease, MO
-
- Multi-Specialty Clinic/Center
- Saint Louis, MO
- NPI 1073022000
-
- Vascular Surgery Physician
- Washington, MO
- NPI 1528192416
-
- General Acute Care Hospital
- West Plains, MO
- NPI 1831115641
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1427098169
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717632000000",
"number": "1467532267",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 PATIENTS FIRST DR STE 2500",
"city": "WASHINGTON",
"state": "MO",
"postal_code": "630904700",
"telephone_number": "636-239-2711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 PATIENTS FIRST DR STE 2500",
"city": "WASHINGTON",
"state": "MO",
"postal_code": "630904700",
"telephone_number": "636-239-2711"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIMMITT",
"first_name": "WALTER",
"middle_name": "AARON",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-16",
"last_updated": "2024-06-06",
"certification_date": "2024-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "IL",
"license": "036124039",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "MO",
"license": "2005026722",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
"affiliation": "N",
"endpointDescription": "BJC",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1225 Graham Rd Ste C-2310",
"city": "Florissant",
"state": "MO",
"country_code": "US",
"postal_code": "630318023",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Washington, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2024; 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.