Individual provider Active NPI

Michael J. Walts, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Loveland, CO
National Provider Identifier
1639146491
Registry record updated Mar 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
DR.0043882 Issued in CO
Practice address
5802 Wright Dr
Loveland, CO 80538-8806
Phone
(970) 212-0530
NPI assigned
Mar 1, 2006
Last updated
Mar 24, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X DR.0043882 CO Primary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 7345A WY

Addresses

Primary practice location

5802 Wright Dr
Loveland, CO 80538-8806

Mailing address

5802 Wright Dr
Loveland, CO 80538-8806
Phone (970) 212-0530

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, WY, NE3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20070705000084 CO Practitioner - Pathology 3476653478 Reassigns benefits to 1 organization
I20150731016877 WY Practitioner - Pathology 3476653478 Reassigns benefits to 1 organization
I20251230003814 NE Practitioner - Pathology 3476653478 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Summit PathologyGroup PAC ID 3971595968, shared by 4 NPIs, 27 clinicians

Practice addresses (Care Compare)

1024 S Lemay Ave
Fort Collins, CO 80524-3929
Phone (970) 495-8740

2301 House Ave
Suite 108
Cheyenne, WY 82001-3177
Phone (970) 212-0530

2500 Rocky Mountain Ave
Loveland, CO 80538-9004
Phone (970) 624-1500

4021 Ave B
Scottsbluff, NE 69361-4602
Phone (970) 212-0530

5802 Wright Dr
Loveland, CO 80538-8806
Phone (970) 212-0530

6767 W 29TH St
Greeley, CO 80634-5474
Phone (970) 652-2080

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.38 of 100Reported as group
Quality
74.56
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Pathology Anatomic Pathology & Clinical Pathology Current Accepting new patients
Summit Pathology Current Accepting new patients
Summit Pathology CurrentSince Oct 30, 2025 Accepting new patients
Summit Pathology Anatomic Pathology & Clinical Pathology CurrentSince Jul 1, 2007 Accepting new patients
Summit Pathology Anatomic Pathology & Clinical Pathology Past Accepting new patients
Summit Pathology Anatomic Pathology & Clinical Pathology Past Accepting new patients

Locations

1024 S Lemay Ave
Fort Collins, CO 80524
Phone (970) 495-7000

1801 16th St
Greeley, CO 80631
Phone (970) 352-4121

6767 29th St
Greeley, CO 80634
Phone (970) 652-2000

2000 Boise Ave
Loveland, CO 80538
Phone (970) 635-4071

2500 Rocky Mountain Ave
Loveland, CO 80538
Phone (970) 297-6425

2500 Rocky Mountain Ave
Ste 200
Loveland, CO 80538
Phone (970) 297-6425

5802 Wright Dr
Loveland, CO 80538
Phone (800) 927-6227

615 Fairhurst St
Sterling, CO 80751
Phone (970) 521-0322

4021 Avenue B
Scottsbluff, NE 69361
Phone (308) 630-1384

2301 House Ave
Cheyenne, WY 82001
Phone (307) 632-9261

2301 House Ave
Ste 108
Cheyenne, WY 82001
Phone (307) 274-3057

255 N 30th St
Laramie, WY 82072
Phone (307) 742-2141

Organizations & group practices 6

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.

Hospital & facility affiliations 31

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

View all 31

NPI Registry JSON

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

{
    "created_epoch": "1141171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585008000000",
    "number": "1639146491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5802 WRIGHT DR",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805388806",
            "telephone_number": "970-212-0530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5802 WRIGHT DR",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805388806",
            "telephone_number": "970-212-0530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTS",
        "first_name": "MICHAEL",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-01",
        "last_updated": "2020-03-24",
        "certification_date": "2020-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "CO",
            "license": "DR.0043882",
            "primary": true
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "WY",
            "license": "7345A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Loveland, CO

Sources for this page

Verify at the official NPI Registry.