Individual provider Active NPI

Walter Aaron Dimmitt, M.D.

  • Cardiovascular Disease Physician
  • Washington, MO
National Provider Identifier
1467532267
Registry record updated Jun 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
2005026722 Issued in MO
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

Updated by the provider on Jun 6, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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, IL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20060227000523 MO Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 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 112 clinicians

Practice addresses (Care Compare)

901 Patients 1St Dr
Suite 2500
Washington, MO 63090-4700
Phone (314) 251-1700

Hospital & facility affiliations

  • Mercy Hospital Washington Hospital, Washington, MO, CCN 260052
  • Mercy Hospital St Louis Hospital, Saint Louis, MO, CCN 260020
  • Mercy Hospital Lincoln Hospital, Troy, MO, CCN 261319
  • Missouri Baptist Sullivan Hospital Hospital, Sullivan, MO, CCN 261337
  • Hermann Area District Hospital Hospital, Hermann, MO, CCN 261314

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036124039ILMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Romtherapy Inc Cardiovascular Disease CurrentSince Sep 25, 2023 Accepting new patients
Mercy Clinic Heart and Vascular, LLC Cardiovascular Disease CurrentSince May 27, 2024 Accepting new patients
Fairview Heights Medical Group SC CurrentSince Jul 1, 2009 Accepting new patients
Fairview Heights Medical Group SC CurrentSince Jul 1, 2009 Accepting new patients
Mercy Clinic Cardiovascular and Thoracic Surgery, LLC PastSince May 27, 2024 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

  • Direct secure messaging: 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.

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": "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

Verify at the official NPI Registry.