Individual provider Active NPI

Clint Richard Walters, MD

  • Diagnostic Radiology Physician
  • Dallas, TX
National Provider Identifier
1568802452
Registry record updated Oct 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
R5677 Issued in TX
Practice address
5323 Harry Hines Boulevard
Dallas, TX 75390-9257
Phone
(214) 645-2717
NPI assigned
Jun 25, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 006585 GA
Diagnostic Radiology Physician 2085R0202X R5677 TX Primary
Neuroradiology Physician 2085N0700X R5677 TX

Addresses

Primary practice location

5323 Harry Hines Boulevard
Dallas, TX 75390-9257

Mailing address

P.O. Box 845347
Dallas, TX 75284-5347
Phone (706) 721-3052

Other practice location 1

4815 Alameda Ave
El Paso, TX 79905-2705
Phone (915) 215-6000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20180919001817 TX Practitioner - Diagnostic Radiology 1254620545 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Texas Medical School at Houston, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Utmb Faculty Group PracticeGroup PAC ID 3375456734, 1,083 clinicians
Texas Radiology Associates LLPGroup PAC ID 3779578000, 154 clinicians

Practice addresses (Care Compare)

301 University Blvd
Galveston, TX 77555-5302
Phone (409) 772-2222

401 W Campbell Rd
Richardson Regional Medical Center
Richardson, TX 75080-3416
Phone (972) 231-1441

Hospital & facility affiliations

  • Baylor Scott & White the Heart Hospital Plano Hospital, Plano, TX, CCN 670025
  • Baylor Scott and White Medical Center McKinney Hospital, MC Kinney, TX, CCN 670082
  • Baylor Scott & White Medical Center Plano Hospital, Plano, TX, CCN 450890
  • Medical City Plano Hospital, Plano, TX, CCN 450651
  • Methodist Richardson Medical Center Hospital, Richardson, TX, CCN 450537

Merit-based Incentive Payment System (MIPS)

Final score
78.88 of 100Reported as group
Quality
73.38
Improvement activities
40
Cost
78.42

Merit-based Incentive Payment System (MIPS)

Final score
91.4 of 100Reported as group
Quality
100
Improvement activities
40
Cost
71.34

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
006585GAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Jan 25, 2023 Accepting new patients
University of Texas Southwestern Medical Center at Dallas Diagnostic Radiology CurrentSince Jul 1, 2018 Accepting new patients
The University of Texas Southwestern Medical Center at Dallas CurrentSince Jul 1, 2018 Accepting new patients
Health Imaging Partners, LLC CurrentSince Jul 24, 2023 Accepting new patients
Methodist-Cdi Diagnostic Radiology CurrentSince Aug 15, 2020 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Aug 10, 2022 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Dec 2, 2019 Accepting new patients
Health Imaging Partners LLC Diagnostic Radiology CurrentSince Sep 6, 2019 Accepting new patients
Health Imaging Partners LLC Diagnostic Radiology CurrentSince Sep 6, 2019 Accepting new patients
Health Imaging Partners LLC Diagnostic Radiology CurrentSince Sep 6, 2019 Accepting new patients
University of Texas Southwestern Medical Center at Dallas Current Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Dec 2, 2019 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Dec 2, 2019 Accepting new patients
Health Imaging Partners LLC Diagnostic Radiology CurrentSince Sep 6, 2019 Accepting new patients
Texas Tech University Health Sciences Center El Paso CurrentSince Dec 1, 2022 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Dec 2, 2019 Accepting new patients
Texas Radiology Associates LLP Diagnostic Radiology CurrentSince Aug 1, 2019 Accepting new patients
Methodist-Cdi Diagnostic Radiology CurrentSince Aug 15, 2020 Accepting new patients
Health Imaging Partners, LLC CurrentSince Oct 17, 2024 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Sep 6, 2019 Accepting new patients
Health Imaging Partners LLC Diagnostic Radiology CurrentSince Dec 2, 2019 Accepting new patients
Health Imaging Partners LLC Diagnostic Radiology CurrentSince Sep 6, 2019 Accepting new patients
Texas Tech University Health Sciences Center El Paso CurrentSince Dec 1, 2022 Accepting new patients
Health Imaging Partners, LLC CurrentSince Apr 23, 2024 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Sep 6, 2019 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Mar 1, 2021 Accepting new patients
Health Imaging Partners LLC Diagnostic Radiology CurrentSince Nov 13, 2023 Accepting new patients
Texas Radiology Associates LLP Diagnostic Radiology CurrentSince Aug 1, 2019 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince May 16, 2022 Accepting new patients
Health Imaging Partners LLC Diagnostic Radiology CurrentSince Sep 6, 2019 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Dec 2, 2019 Accepting new patients
Methodist-Cdi Diagnostic Radiology Current Accepting new patients
Health Imaging Partners LLC Diagnostic Radiology CurrentSince Sep 6, 2019 Accepting new patients
Health Imaging Partners LLC Diagnostic Radiology CurrentSince Sep 6, 2019 Accepting new patients
Texas Tech University Health Sciences Center El Paso Current Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Sep 6, 2019 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Dec 9, 2019 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Dec 2, 2019 Accepting new patients
Utmb Faculty Group Practice Diagnostic Radiology CurrentSince Mar 27, 2020 Accepting new patients
Texas Tech University Health Sciences Center Odessa Past Accepting new patients

Locations

1600 Hospital Pkwy
Bedford, TX 76022
Phone (817) 355-7803

2350 N Stemmons Fwy
Dallas, TX 75207
Phone (469) 488-7100

3535 S Interstate 35 E
Denton, TX 76210
Phone (940) 384-3013

1750 N Hampton Rd
Desoto, TX 75115
Phone (214) 420-5400

4801 Alberta Ave
El Paso, TX 79905
Phone (915) 215-5200

4815 Alameda Ave
El Paso, TX 79905
Phone (915) 215-6000

301 University Blvd
Galveston, TX 77555
Phone (409) 747-1883

511 Park Grove Dr
Katy, TX 77450
Phone (281) 398-7001

1820 Preston Park Blvd
Ste 2400
Plano, TX 75093

4140 E Renner Rd
Ste 100
Richardson, TX 75082
Phone (972) 920-0115

401 W Campbell Rd
Richardson, TX 75080
Phone (940) 384-3535

5323 Harry Hines Blvd
Ut Southwest Medical Center, TX 75390

200 Blossom St
Webster, TX 77598
Phone (281) 252-7000

Organizations & group practices 40

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 40

Hospital & facility affiliations 5

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": "1372118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666310400000",
    "number": "1568802452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 845347",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752845347",
            "telephone_number": "706-721-3052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5323 HARRY HINES BOULEVARD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753909257",
            "telephone_number": "214-645-2717"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4815 Alameda Ave",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799052705",
            "country_code": "US",
            "telephone_number": "915-215-6000",
            "fax_number": "915-545-6607",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALTERS",
        "first_name": "CLINT",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-25",
        "last_updated": "2022-10-21",
        "certification_date": "2022-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "GA",
            "license": "006585",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "R5677",
            "primary": true
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "TX",
            "license": "R5677",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.