NPIMap

Individual provider Active NPI

Walter Dittel, MD

  • Hospitalist Physician
  • Brockton, MA
National Provider Identifier
1497915813
Registry record updated Jan 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
256967 Issued in MA
Practice address
680 Centre St
Brockton, MA 02302-3308
Phone
(508) 941-7618
Fax
(508) 941-6299
NPI assigned
Jun 10, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MT186869 PA
Pediatrics Physician 208000000X MT186869 PA
Hospitalist Physician 208M00000X 256967 MA Primary

Addresses

Primary practice location

680 Centre St
Brockton, MA 02302-3308

Mailing address

680 Centre St
Brockton, MA 02302-3308
Phone (508) 941-7618

Other practice location 1

43 High St
Wareham, MA 02571-2097
Phone (508) 973-5919

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20140408000486 MA Practitioner - Internal Medicine 9537207295 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2000
Medicare assignment
May accept Medicare assignment
Group practices
Southcoast Physicians Group IncGroup PAC ID 0749171957, 875 clinicians
Lifespan Physician Group of Massachusetts IncGroup PAC ID 3870020399, 458 clinicians

Practice addresses (Care Compare)

43 High St
Wareham, MA 02571-2097
Phone (508) 973-5919

88 Washington St
Taunton, MA 02780-2465
Phone (508) 828-7000

Hospital & facility affiliations

  • Hospice and Palliative Care Hospice, Fairhaven, MA, CCN 221536
  • Southcoast Hospitals Group Hospital, Fall River, MA, CCN 220074
  • Brown University Health Morton Hospital Hospital, Taunton, MA, CCN 220073

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MT186869PAMDPediatrics Physician
256967MAMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southcoast Physicians Group, Inc. Internal Medicine CurrentSince May 14, 2024 Accepting new patients
Steward Medical Group, Inc CurrentSince Aug 31, 2019 Accepting new patients
Southcoast Physicians Group, Inc. CurrentSince May 14, 2024 Accepting new patients
Lifespan Physician Group of Massachusetts Inc Internal Medicine CurrentSince Jan 1, 2025 Accepting new patients
Steward Medical Group, Inc CurrentSince Aug 31, 2019 Accepting new patients
Sound Physicians of Massachusetts II PC Internal Medicine CurrentSince Dec 1, 2018 Accepting new patients
Southcoast Hospitals Group, Inc Past Accepting new patients
El Paso Oncology and Internal Medicine, P.a Internal Medicine PastSince Oct 1, 1991 Accepting new patients
Lifespan of Massachusetts - Taunton Inc Past Accepting new patients

Locations

736 Cambridge St
Brighton, MA 02135
Phone (617) 789-2762

11 Nevins St
Ste 201
Brighton, MA 02135
Phone (617) 789-2442

680 Centre St
Brockton, MA 02302
Phone (508) 941-7400

534 Prospect St
Fall River, MA 02720
Phone (508) 679-7766

575 Beech St
Holyoke, MA 01040
Phone (413) 534-2570

100 Amesbury St
Ste 103
Lawrence, MA 01840
Phone (978) 683-0157

101 Page St
New Bedford, MA 02740
Phone (508) 961-5425

531 Faunce Corner Rd
North Dartmouth, MA 02747
Phone (508) 991-2255

88 Washington St
Taunton, MA 02780
Phone (508) 828-7000

43 High St
Wareham, MA 02571
Phone (508) 273-4200

Interoperability endpoints

  • Direct secure messaging: wdittel78893@direct.southcoast.org

Organizations & group practices 9

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 3

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": "1213056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737417600000",
    "number": "1497915813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 CENTRE ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023023308",
            "telephone_number": "508-941-7618",
            "fax_number": "508-941-6299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 CENTRE ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023023308",
            "telephone_number": "508-941-7618",
            "fax_number": "508-941-6299"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "43 High St",
            "address_purpose": "LOCATION",
            "city": "Wareham",
            "state": "MA",
            "postal_code": "025712097",
            "country_code": "US",
            "telephone_number": "508-973-5919",
            "fax_number": "508-973-5916",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DITTEL",
        "first_name": "WALTER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-10",
        "last_updated": "2025-01-21",
        "certification_date": "2025-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MT186869",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MT186869",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "MA",
            "license": "256967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brockton, MA

Sources for this page

Verify at the official NPI Registry.