NPIMap

Individual provider Active NPI

Jeremy Walters, DPM

  • Orthopaedic Foot and Ankle Surgery Physician
  • Suffolk, VA
National Provider Identifier
1831450436
Registry record updated Jan 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Foot and Ankle Surgery PhysicianTaxonomy code 207XX0004X
License
0103301162 Issued in VA
Practice address
150 Burnetts Way Ste 100
Suffolk, VA 23434-8168
Phone
(757) 547-5145
NPI assigned
May 31, 2012
Last updated
Jan 19, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 0103301162 VA
Orthopaedic Foot and Ankle Surgery Physician 207XX0004X 0103301162 VA Primary

Addresses

Primary practice location

150 Burnetts Way Ste 100
Suffolk, VA 23434-8168

Mailing address

501 Discovery Dr
Chesapeake, VA 23320-3832
Phone (757) 547-5145

Other practice location 1

5801 Harbour View Blvd
Suffolk, VA 23435-2657
Phone (757) 547-5145

Other practice location 2

501 Discovery Dr
Chesapeake, VA 23320-3832
Phone (757) 547-5145

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160622000367 VA Practitioner - Podiatry 1759672702 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

150 Burnetts Way
Suite 100
Suffolk, VA 23434-8168
Phone 75754751453502

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
77.83 of 100Reported as group
Quality
47.9
Promoting interoperability
99
Improvement activities
40
Cost
79.04

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue1-10
Removal of skin lesions1-10
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sport Medicine and Orthopaedic Center Inc Foot and Ankle Surgery CurrentSince Aug 1, 2019 Accepting new patients
Sports Medicine and Orthopaedic Center CurrentSince Aug 1, 2019 Accepting new patients
Sentara Obici Ambulatory Surgery, LLC CurrentSince Jun 23, 2020 Accepting new patients
Sport Medicine and Orthopaedic Center Inc Foot and Ankle Surgery PastSince Aug 18, 2024 Accepting new patients

Locations

501 Discovery Dr
Chesapeake, VA 23320
Phone (757) 842-7010

814 Greenbrier Cir
Ste F
Chesapeake, VA 23320
Phone (757) 405-3203

150 Burnetts Way
Ste 100
Suffolk, VA 23434
Phone (757) 539-9333

2750 Godwin Blvd
Suffolk, VA 23434
Phone (757) 983-2000

5801 Harbour View Blvd
Suffolk, VA 23435

5801 Harbour View Blvd
Ste 200
Suffolk, VA 23435
Phone 75754751453502

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/24174/brand/1/csg/1/fhir/r4
  • Direct secure messaging: jeremy.walters.1@24174.direct.athenahealth.com

Organizations & group practices 4

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 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1338422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768780800000",
    "number": "1831450436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 DISCOVERY DR",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233203832",
            "telephone_number": "757-547-5145",
            "fax_number": "757-312-0216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 BURNETTS WAY STE 100",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234348168",
            "telephone_number": "757-547-5145"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5801 Harbour View Blvd",
            "address_purpose": "LOCATION",
            "city": "Suffolk",
            "state": "VA",
            "postal_code": "234352657",
            "country_code": "US",
            "telephone_number": "757-547-5145",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "501 Discovery Dr",
            "address_purpose": "LOCATION",
            "city": "Chesapeake",
            "state": "VA",
            "postal_code": "233203832",
            "country_code": "US",
            "telephone_number": "757-547-5145",
            "fax_number": "757-312-0216",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALTERS",
        "first_name": "JEREMY",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-31",
        "last_updated": "2026-01-19",
        "certification_date": "2026-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "VA",
            "license": "0103301162",
            "primary": false
        },
        {
            "code": "207XX0004X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
            "state": "VA",
            "license": "0103301162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Suffolk, VA

Sources for this page

Verify at the official NPI Registry.