Individual provider Active NPI

Nathan Scott Walters, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Dallas, TX
National Provider Identifier
1639259294
Registry record updated Oct 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
L7595 Issued in TX
Practice address
4849 Greenville Ave Ste 1180
Dallas, TX 75206-4130
Phone
(214) 888-3888
Fax
(214) 888-3889
NPI assigned
Oct 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X L7595 TX
Physical Medicine & Rehabilitation Physician 208100000X L7595 TX Primary

Addresses

Primary practice location

4849 Greenville Ave Ste 1180
Dallas, TX 75206-4130

Mailing address

7115 Greenville Ave Ste 230
Dallas, TX 75231-5104
Phone (214) 888-3888

Other identifiers 1

IdentifierTypeStateIssuer
L7595OtherTXTMB

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
I20070621000127 TX Practitioner - Physical Medicine and RehabilitationPractitioner - Pain Management 2163521873 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and RehabilitationAlso: Pain Management
Education
University of Texas Medical School at San Antonio, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Interventional Spine and Pain, LLPGroup PAC ID 8729383823, 2 clinicians

Practice addresses (Care Compare)

7115 Greenville Ave
Suite 230
Dallas, TX 75231-5104
Phone (214) 888-3888

Hospital & facility affiliations

  • Baylor Scott & White Institute for Rehabilitation Inpatient rehabilitation facility, Dallas, TX, CCN 453036

Merit-based Incentive Payment System (MIPS)

Final score
82.67 of 100Reported as individual
Quality
71.3
Promoting interoperability
100
Improvement activities
40
Cost
70.95

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
ZL Dallas Spine LLC CurrentSince Jan 1, 2013 Accepting new patients
Interventional Spine and Pain, LLP Pain Medicine CurrentSince Oct 27, 2024 Accepting new patients
PSB Anesthesia PA CurrentSince May 15, 2024 Accepting new patients
John H Peloza MD PA Past Accepting new patients
Peloza Surgical Services, PLLC Past Accepting new patients

Locations

17051 Dallas Pkwy
Ste 300
Addison, TX 75001
Phone (214) 888-3888

7115 Greenville Ave
Ste 230
Dallas, TX 75231
Phone (214) 888-3888

4849 Greenville Ave
Ste 1180
Dallas, TX 75206
Phone (214) 888-3888

12221 Merit Dr
Ste 620
Dallas, TX 75251
Phone (214) 506-2610

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1504/brand/5/csg/87/fhir/r4
  • Direct secure messaging: nathan.walters.1@16920.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/16920/brand/1/csg/1/fhir/r4

Organizations & group practices 5

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 1

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": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729382400000",
    "number": "1639259294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7115 GREENVILLE AVE STE 230",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752315104",
            "telephone_number": "214-888-3888",
            "fax_number": "214-888-3889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4849 GREENVILLE AVE STE 1180",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752064130",
            "telephone_number": "214-888-3888",
            "fax_number": "214-888-3889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTERS",
        "first_name": "NATHAN",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2024-10-20",
        "certification_date": "2024-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "TX",
            "license": "L7595",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "L7595",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TMB",
            "identifier": "L7595",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.