NPIMap

Individual provider Active NPI

Elliot Walters, MD

  • Surgical Critical Care Physician
  • Trenton, NJ
National Provider Identifier
1477973592
Registry record updated Jun 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Critical Care PhysicianTaxonomy code 2086S0102X
License
MD486109 Issued in PA
Practice address
750 Brunswick Ave
Trenton, NJ 08638-4143
Phone
(609) 394-6000
NPI assigned
Apr 16, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Critical Care Physician 2086S0102X MD486109 PA Primary
Surgical Critical Care Physician 2086S0102X 25IA13097500 NJ

Addresses

Primary practice location

750 Brunswick Ave
Trenton, NJ 08638-4143

Mailing address

750 Brunswick Ave
Trenton, NJ 08638-4143
Phone (609) 394-6000

Other practice location 1

3401 N Broad St
Philadelphia, PA 19140-5189
Phone (215) 707-3133

Other practice location 2

801 Ostrum St
Bethlehem, PA 18015-1000
Phone (866) 785-8537

Other practice location 3

1 Capital Way
Pennington, NJ 08534-2520
Phone (609) 303-4000

Other practice location 4

40 Fuld St Ste 300
Trenton, NJ 08638-5247
Phone (609) 396-2600

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address elliot.walters.1@12833.direct.athenahealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20240729003463 PA Practitioner - General Surgery 4183160963 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Lukes Physician Group IncGroup PAC ID 6709798333, 2,161 clinicians
Temple Faculty Practice Plan IncGroup PAC ID 0345588711, 1,325 clinicians
Capital Health Multispecialty GroupGroup PAC ID 1850689894, 342 clinicians

Practice addresses (Care Compare)

1021 Park Ave
Quakertown, PA 18951-0130

1201 Langhorne Newtown Rd
Langhorne, PA 19047-1201

3401 N Broad St
Philadelphia, PA 19140-5103
Phone (215) 707-3008

700 Lawn Ave
Sellersville, PA 18960-1548
Phone (484) 822-5700

701 Ostrum St
Fountain Hill, PA 18015-1152

750 Brunswick Ave
Trenton, NJ 08638-4143
Phone (609) 394-6000

801 Ostrm St
Bethlehem, PA 18015-1000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair (minimally invasive)1-10
Pacemaker insertion or repair1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD486109PAMDSurgical Critical Care Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prospect Health Access Network, Inc. CurrentSince Aug 15, 2024 Accepting new patients
St Luke'S Physician Group Inc CurrentSince Jun 2, 2025 Accepting new patients
St. Luke'S Physician Group Inc. Surgery CurrentSince Jun 2, 2025 Accepting new patients
Trinity Health Mid-Atlantic Medical Group CurrentSince Jan 7, 2026 Accepting new patients
Prospect Health Access Network, Inc. CurrentSince Aug 15, 2024 Accepting new patients
Prospect Health Access Network, Inc. Current Accepting new patients
Trinity Health Mid-Atlantic Medical Group CurrentSince Jan 7, 2026 Accepting new patients
St. Luke'S Physician Group, Inc. Current Accepting new patients
Temple Faculty Practice Plan, Inc CurrentSince Oct 16, 2025 Accepting new patients
Temple Faculty Practice Plan Inc CurrentSince Oct 16, 2025 Accepting new patients
St. Luke'S Physician Group, Inc Past Accepting new patients
Temple Faculty Practice Plan Inc Past Accepting new patients
Prospect CCMC, LLC Past Accepting new patients
St Lukes Hospital Past Accepting new patients

Locations

1 Medical Center Blvd
Ste 240
Chester, PA 19013
Phone (610) 541-7927

1 Medical Center Blvd
Chester, PA 19013
Phone (610) 447-6666

1 Medical Center Blvd
Ste 301
Chester, PA 19013
Phone (610) 566-6744

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

1203 Langhorne Newtown Rd
Ste 225
Langhorne, PA 19047
Phone (215) 710-4490

1201 Langhorne Newtown Rd
Penndel, PA 19047
Phone (215) 710-2100

3401 N Broad St
Philadelphia, PA 19140
Phone (215) 707-3807

333 Cottman Ave
Philadelphia, PA 19111
Phone (215) 728-3893

3509 N Broad St
Philadelphia, PA 19140
Phone (215) 707-2433

100 W Sproul Rd
Ste 123
Springfield, PA 19064
Phone (610) 619-8281

Interoperability endpoints

  • Direct secure messaging: ewalters347954@direct-sluhn.org

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 17

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1397606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781740800000",
    "number": "1477973592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 BRUNSWICK AVE",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "086384143",
            "telephone_number": "609-394-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 BRUNSWICK AVE",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "086384143",
            "telephone_number": "609-394-6000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3401 N Broad St",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191405189",
            "country_code": "US",
            "telephone_number": "215-707-3133",
            "fax_number": "215-707-3945",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "801 Ostrum St",
            "address_purpose": "LOCATION",
            "city": "Bethlehem",
            "state": "PA",
            "postal_code": "180151000",
            "country_code": "US",
            "telephone_number": "866-785-8537",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Capital Way",
            "address_purpose": "LOCATION",
            "city": "Pennington",
            "state": "NJ",
            "postal_code": "085342520",
            "country_code": "US",
            "telephone_number": "609-303-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "40 Fuld St Ste 300",
            "address_purpose": "LOCATION",
            "city": "Trenton",
            "state": "NJ",
            "postal_code": "086385247",
            "country_code": "US",
            "telephone_number": "609-396-2600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALTERS",
        "first_name": "ELLIOT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-16",
        "last_updated": "2026-06-18",
        "certification_date": "2026-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "PA",
            "license": "MD486109",
            "primary": true
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "NJ",
            "license": "25IA13097500",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "elliot.walters.1@12833.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "40 Fuld St Ste 300",
            "city": "Trenton",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "086385247",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Trenton, NJ

Sources for this page

Verify at the official NPI Registry.