NPIMap

Individual provider Active NPI

James D Walter, MD

  • Internal Medicine Physician
  • Davison, MI
National Provider Identifier
1912009580
Registry record updated Jan 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301062069 Issued in MI
Practice address
8020 Davison Rd
Davison, MI 48423-2029
Phone
(810) 653-4145
Fax
(810) 653-1741
NPI assigned
Sep 2, 2006
Last updated
Jan 12, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301062069 MI Primary

Addresses

Primary practice location

8020 Davison Rd
Davison, MI 48423-2029

Mailing address

8020 Davison Rd
Davison, MI 48423-2029
Phone (810) 653-4145

Other identifiers 1

IdentifierTypeStateIssuer
3235815MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20080317000307 MI Practitioner - Internal Medicine 3072698901 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Michigan Medical School, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Henry Ford Medical Group GenesysGroup PAC ID 7214288281, 96 clinicians

Practice addresses (Care Compare)

8020 Davison Rd
Davison, MI 48423-2029
Phone (810) 653-4145

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions18
Skin biopsy21

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Medical Group Genesys Internal Medicine CurrentSince Aug 21, 2018 Accepting new patients
Ascension Genesys Hospital CurrentSince Jul 1, 2012 Accepting new patients
Henry Ford Medical Group Genesys CurrentSince Aug 21, 2018 Accepting new patients
Genesys Pho LLC CurrentSince Mar 24, 2018 Accepting new patients
Henry Ford Health Genesys Hospital Current Accepting new patients
Henry Ford Medical Group Genesys Internal Medicine Current Accepting new patients
Henry Ford Health Genesys Hospital CurrentSince Jul 1, 2012 Accepting new patients

Locations

8020 Davison Rd
Davison, MI 48423
Phone (810) 578-6901

2184 S Ballenger Hwy
Flint, MI 48503
Phone (810) 232-5627

3021 S Dort Hwy
Flint, MI 48507
Phone (810) 844-9160

307 E Court St
Flint, MI 48502
Phone (810) 341-7370

3495 S Center Rd
Flint, MI 48519
Phone (810) 424-2025

3709 E Court St
Flint, MI 48506
Phone (810) 743-1090

420 S Saginaw St
Flint, MI 48502
Phone (810) 232-3522

1 Genesys Pkwy
Grand Blanc, MI 48439
Phone (810) 606-5733

10785 S Saginaw St
Ste D
Grand Blanc, MI 48439
Phone (810) 695-6337

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8209/brand/5/csg/21/fhir/r4
  • Direct secure messaging: jameswalter@pmi.allscriptsdirect.net
  • Direct secure messaging: jwalter1156947@direct.hfhs.org

Organizations & group practices 7

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 4

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": "1157155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231718400000",
    "number": "1912009580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8020 DAVISON RD",
            "city": "DAVISON",
            "state": "MI",
            "postal_code": "484232029",
            "telephone_number": "810-653-4145",
            "fax_number": "810-653-1741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8020 DAVISON RD",
            "city": "DAVISON",
            "state": "MI",
            "postal_code": "484232029",
            "telephone_number": "810-653-4145",
            "fax_number": "810-653-1741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTER",
        "first_name": "JAMES",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-02",
        "last_updated": "2009-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301062069",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3235815",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Davison, MI

Sources for this page

Verify at the official NPI Registry.