Michelle Collins Walters, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

38685 Issued in OK

Practice address

2424 E 21St St Ste 340
Tulsa, OK 74114-1722

Phone

(918) 728-3100

Fax

(918) 728-3376

NPI assigned

Dec 12, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Michelle Marie Collins Former name

Medicare fee-for-service enrollment

Enrolled in VA, OK2 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

Specialty

Dermatology

Education

Georgetown University School of Medicine, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Midtown Dermatology LLCGroup PAC ID 4587602784, 7 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

92.24 of 100Reported as group

Quality

93.33

Promoting interoperability

93

Improvement activities

40

Cost

86.63

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mwalters@aiderm.trimed.direct-ci.com

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.

• Midtown Dermatology LLC

  • Dermatology Physician
  • Tulsa, OK
  • NPI 1750400230
  Medicare reassignment Care Compare group NPD
• Alexandria Associates in Dermatology, PC

  • Dermatology Physician
  • Alexandria, VA
  • NPI 1043389331
  NPD (past)
• Anne Arundel Dermatology LLC

  • Dermatology Physician
  • Annapolis, MD
  • NPI 1063481703
  NPD (past)
• Virginia Dermatology & Skin Cancer Center PLLC

  • Medical Specialty Clinic/Center
  • Norfolk, VA
  • NPI 1396774667
  NPD (past)
• Virginia Dermatology Skin Cancer Center Suffolk

  • Specialist
  • Suffolk, VA
  • NPI 1497032205
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1134345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664409600000",
    "number": "1477538585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3131 S ZUNIS AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741052232",
            "telephone_number": "619-218-8358",
            "fax_number": "918-728-3376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2424 E 21ST ST STE 340",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741141722",
            "telephone_number": "918-728-3100",
            "fax_number": "918-728-3376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTERS",
        "first_name": "MICHELLE",
        "middle_name": "COLLINS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-12",
        "last_updated": "2022-09-29",
        "certification_date": "2022-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "IN",
            "license": "01059900A",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "VA",
            "license": "0101252959",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "OK",
            "license": "38685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "COLLINS",
            "middle_name": "MARIE",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Carolyn T Walters, ARNP
• Corbin Walters
• Mary E Walters
• Megan Nell Walters, BS
• Michael John Walters, M.D.
• Rustin Chanc Walters, M.D.
• Amy Lauren Walton, CLC, CD(DONA)
• Bao-Tran Walton, O.D.
• Jessica Walton
• John Douglas Walton, D.O.

• Dermatology Physician in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Dermatology Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2022; 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.

Verify at the official NPI Registry.