Active NPI
Walter S. Langheinrich, M.D.
- Neurological Surgery Physician
- South Bend, IN
National Provider Identifier
1699703595
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- 01042688A
- Practice address
- 100 Navarre PL
Suite 6600
South Bend, IN 46601-1156 - Phone
- (574) 232-7227
- Fax
- (574) 232-2064
- NPI assigned
- Jun 29, 2006
- 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 |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | 01042688A | IN | Primary |
Addresses
Primary practice location
100 Navarre PL
Suite 6600
South Bend, IN 46601-1156
Mailing address
710 N Niles Ave
South Bend, IN 46617-1924
Phone (574) 647-1610
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100410110 | Medicaid | IN | |
| M400033278 | Other | IN | MEDICARE PTAN |
| 000000686406 | Other | IN | BCBS BMG NEUROSURGERY SB |
| P00933715 | Other | IN | RR MEDICARE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | wlangheinrich@mybeacon.cernerdirect.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617062400000",
"number": "1699703595",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "710 N NILES AVE",
"city": "SOUTH BEND",
"state": "IN",
"postal_code": "466171924",
"telephone_number": "574-647-1610"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 NAVARRE PL",
"address_2": "SUITE 6600",
"city": "SOUTH BEND",
"state": "IN",
"postal_code": "466011156",
"telephone_number": "574-232-7227",
"fax_number": "574-232-2064"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANGHEINRICH",
"first_name": "WALTER",
"middle_name": "S.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-29",
"last_updated": "2021-03-30",
"certification_date": "2021-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "IN",
"license": "01042688A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100410110",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "M400033278",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS BMG NEUROSURGERY SB",
"identifier": "000000686406",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00933715",
"state": "IN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "wlangheinrich@mybeacon.cernerdirect.com",
"affiliation": "N",
"address_1": "100 Navarre Pl",
"address_2": "Suite 6600",
"city": "South Bend",
"state": "IN",
"country_code": "US",
"postal_code": "466011156",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in South Bend, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.