Individual provider Active NPI

Walter Helmut Rohloff, MD

  • Nephrology Physician
  • St Thomas, VI
National Provider Identifier
1649292640
Registry record updated Dec 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
1915 Issued in VI
Practice address
9149 Estate Thomas Ste 209a
St Thomas, VI 00802-3132
Phone
(505) 563-2800
Fax
(505) 563-2821
NPI assigned
Jul 25, 2006
Last updated
Dec 3, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 3, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 2001-296 NM
Internal Medicine Physician 207R00000X 1915 VI
Nephrology Physician 207RN0300X 1915 VI Primary

Addresses

Primary practice location

9149 Estate Thomas Ste 209a
St Thomas, VI 00802-3132

Mailing address

9149 Estate Thomas Ste 209a
St Thomas, VI 00802-3132
Phone (340) 998-1401

Other identifiers 2

IdentifierTypeStateIssuer
000G6102MedicaidNM
VIPROV016MedicaidVI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM, VI2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20060216000178 NM Practitioner - Nephrology 7315848801 Reassigns benefits to 1 organization
I20150408000330 VI Practitioner - NephrologyPractitioner - Internal Medicine 7315848801 Reassigns benefits to 1 organization
Practice locations: St Thomas, VI

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9048 Sugar Est
St Thomas, VI 00802-3634
Phone (505) 702-3831

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2001-296NMMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Governor Juan F. Luis Hospital & Medical Center CurrentSince Apr 21, 2018 Accepting new patients
Ess Hospitalist LLC CurrentSince May 4, 2013 Accepting new patients
Governor Juan F. Luis Hospital & Medical Center CurrentSince Apr 21, 2018 Accepting new patients
Four Corners Nephrology Associates PC Nephrology Past Accepting new patients
Four Corners Nephrology Associates PC Nephrology PastSince Mar 22, 2020 Accepting new patients
Scenic Drive Inpatient Services LLC Past Accepting new patients

Locations

1313 E 32nd St
Silver City, NM 88061
Phone (505) 537-4953

17304 Preston Rd
Ste 1400
Dallas, TX 75252
Phone (972) 934-3200

4007 Estate Diamond Ruby
St Croix, VI 00820
Phone (340) 772-7423

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.72546

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 2

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": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701561600000",
    "number": "1649292640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9149 ESTATE THOMAS STE 209A",
            "city": "ST THOMAS",
            "state": "VI",
            "postal_code": "008023132",
            "telephone_number": "340-998-1401",
            "fax_number": "800-860-0677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9149 ESTATE THOMAS STE 209A",
            "city": "ST THOMAS",
            "state": "VI",
            "postal_code": "008023132",
            "telephone_number": "505-563-2800",
            "fax_number": "505-563-2821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROHLOFF",
        "first_name": "WALTER",
        "middle_name": "HELMUT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2023-12-03",
        "certification_date": "2023-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NM",
            "license": "2001-296",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VI",
            "license": "1915",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "VI",
            "license": "1915",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000G6102",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "VIPROV016",
            "state": "VI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St Thomas, VI

Sources for this page

Verify at the official NPI Registry.