Susan J.S. Walters, MD

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

28645 Issued in WA

Practice address

6005 244TH St SW
Ste. 111
Mountlake Terrace, WA 98043-5400

Phone

(425) 275-5555

Fax

(425) 275-5590

NPI assigned

Dec 6, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Merit-based Incentive Payment System (MIPS)

Final score

93.85 of 100Reported as apm

Quality

74.6

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1133827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1962486548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6005 244TH ST SW",
            "address_2": "STE. 111",
            "city": "MOUNTLAKE TERRACE",
            "state": "WA",
            "postal_code": "980435400",
            "telephone_number": "425-275-5555",
            "fax_number": "425-275-5590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6005 244TH ST SW",
            "address_2": "STE. 111",
            "city": "MOUNTLAKE TERRACE",
            "state": "WA",
            "postal_code": "980435400",
            "telephone_number": "425-275-5555",
            "fax_number": "425-275-5590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTERS",
        "first_name": "SUSAN",
        "middle_name": "J.S.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-06",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "WA",
            "license": "28645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexis Michael Walker
• Grant Walker, PHARM.D.
• Elizabeth Rachel Wallace, MFT
• Jamie Wallace
• Melissa Cecilia Walsh, MD
• Jamie Wang, DPT
• Roy Wang
• Stephen O Wangen, N.D.
• Warm Hearts Care LLC
• Brian Joseph Warren, MS, LMFTA

• Urology Physician in Mountlake Terrace, WA
• Providers in Mountlake Terrace, WA by specialty
• Urology Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.