Active NPI
Daniel J. Walters, DPM
- Foot & Ankle Surgery Podiatrist
- Chicago, IL
National Provider Identifier
1598832552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 016003479
- Practice address
- 6545 W Archer Ave
Chicago, IL 60638 - Phone
- (773) 586-0050
- Fax
- (773) 586-0533
- NPI assigned
- Nov 28, 2006
- Last updated
- Feb 25, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 016003479 | IL | Primary |
Addresses
Primary practice location
6545 W Archer Ave
Chicago, IL 60638
Mailing address
6545 W Archer Ave
Chicago, IL 60638
Phone (773) 586-0050
Other names 1
- Dr. Daniel J. Walters
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 016003479 | IL | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Day Wound Care LLC | Foot & Ankle Surgery | Current | Accepting new patients |
Locations
2021 Midwest Rd
Ste 200
Oak Brook, IL 60523
Phone (312) 599-2555
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Foot & Ankle Surgery Podiatrist
- Oak Brook, IL
- NPI 1285322735
-
- Foot & Ankle Surgery Podiatrist
- Chicago, IL
- NPI 1164724431
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1298592000000",
"number": "1598832552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6545 W ARCHER AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60638",
"telephone_number": "773-586-0050",
"fax_number": "773-586-0533"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6545 W ARCHER AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60638",
"telephone_number": "773-586-0050",
"fax_number": "773-586-0533"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALTERS",
"first_name": "DANIEL",
"middle_name": "J.",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-28",
"last_updated": "2011-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "IL",
"license": "016003479",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DANIEL",
"last_name": "WALTERS",
"middle_name": "J.",
"prefix": "DR.",
"credential": "DPM",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2011; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.