Individual provider Active NPI

Walter B Rose, M.D.

  • Specialist
  • Chattanooga, TN
National Provider Identifier
1689668121
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD16460 Issued in TN
Practice address
721 Glenwood Dr
Suite 550-West Memorial Medical Building
Chattanooga, TN 37404-1106
Phone
(423) 698-8692
Fax
(423) 624-7813
NPI assigned
Sep 9, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MD16460 TN Primary

Addresses

Primary practice location

721 Glenwood Dr
Suite 550-West Memorial Medical Building
Chattanooga, TN 37404-1106

Mailing address

721 Glenwood Dr
Suite 550-West Memorial Medical Building
Chattanooga, TN 37404-1106
Phone (423) 698-8692

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, GA2 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
I20060524000175 TN Practitioner - General Surgery 7113938523 Reassigns benefits to 1 organization
Practice locations: Chattanooga, TN
I20191126002845 GA Practitioner - General Surgery 7113938523 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Tennessee, HSC, College of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

100 Gross Crescent Cir
Fort Oglethorpe, GA 30742-3643
Phone (706) 858-2445

2525 Desales Ave
Chattanooga, TN 37404-1161
Phone (423) 492-4734

5600 Brainerd Rd
Suite 500
Chattanooga, TN 37411-5371
Phone (423) 414-3586

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.27 of 100Reported as apm
Quality
92.6
Promoting interoperability
93.23
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair - groin (open)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD16460TNMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Health Partners Foundation Inc Current Accepting new patients
Memorial Health Partners Foundation Inc CurrentSince Jul 26, 2015 Accepting new patients
Memorial Health Partners Foundation, Inc CurrentSince Jul 26, 2015 Accepting new patients

Locations

100 Gross Crescent Cir
Ft Oglethorpe, GA 30742
Phone (706) 858-2301

611 E Villanow St
La Fayette, GA 30728
Phone (706) 638-1606

1949 Gunbarrel Rd
Ste 206
Chattanooga, TN 37421
Phone (423) 495-4345

5600 Brainerd Rd
Ste 500
Chattanooga, TN 37411
Phone (423) 414-3586

721 Glenwood Dr
Ste W550
Chattanooga, TN 37404
Phone (423) 698-8692

Interoperability endpoints

  • Direct secure messaging: walterrose@tnmhpf.allscriptsdirect.net
  • Direct secure messaging: wrose134208@direct.stlukeshealth.org

Organizations & group practices 3

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": "1126224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1689668121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 GLENWOOD DR",
            "address_2": "SUITE 550-WEST MEMORIAL MEDICAL BUILDING",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374041106",
            "telephone_number": "423-698-8692",
            "fax_number": "423-624-7813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 GLENWOOD DR",
            "address_2": "SUITE 550-WEST MEMORIAL MEDICAL BUILDING",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374041106",
            "telephone_number": "423-698-8692",
            "fax_number": "423-624-7813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSE",
        "first_name": "WALTER",
        "middle_name": "B",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-09",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TN",
            "license": "MD16460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.