Active NPI
Michael John Walters, M.D.
- Vascular & Interventional Radiology Physician
- Tulsa, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular & Interventional Radiology Physician
- License
- 34629
- Practice address
- 4500 S Garnett Rd Ste 300
Tulsa, OK 74146-5238 - Phone
- (918) 935-3550
- NPI assigned
- Apr 10, 2012
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 34629 | OK | |
| Vascular & Interventional Radiology Physician | 2085R0204X | 34629 | OK | Primary |
| Vascular & Interventional Radiology Physician | 2085R0204X | MD-21972 | HI |
Addresses
Primary practice location
4500 S Garnett Rd Ste 300
Tulsa, OK 74146-5238
Mailing address
4500 S Garnett Rd Ste 300
Tulsa, OK 74146-5238
Phone (918) 728-6194
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, OK, HI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Texas Tech University Health Science Center School of Medicine, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1190 Waianuenue Ave
Hilo, HI 96720-2089
Phone (808) 932-3000
Hospital & facility affiliations
- Hilo Benioff Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD-21972 | HI | MD | Vascular & Interventional Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Choctaw Nation of Oklahoma | Current | Accepting new patients | |
| Hilo Benioff Medical Center | Current | Accepting new patients | |
| Wewoka Indian Health | Current | Accepting new patients | |
| Eagle Butte Indian Health Service Hospital | Current | Accepting new patients | |
| El Reno Indian Health Center | Current | Accepting new patients | |
| Cherokee Nation | Current | Accepting new patients | |
| Anadarko Indian Health Center | Current | Accepting new patients | |
| Hilo Benioff Medical Center | Current | Accepting new patients | |
| Watonga Indian Health Center | Current | Accepting new patients | |
| Kau Hospital | Current | Accepting new patients | |
| Oklahoma Diagnostic Imaging LTD | Current | Accepting new patients | |
| Creek Nation Hospital & Clinics | Current | Accepting new patients | |
| Lawton Indian Hospital | Current | Accepting new patients | |
| Pawnee Indian Health Center | Current | Accepting new patients | |
| Kau Hospital | Current | Accepting new patients | |
| Creek Nation Hospital & Clinics | Current | Accepting new patients | |
| Clinton Indian Health Center | Current | Accepting new patients | |
| Cherokee Nation | Current | Accepting new patients | |
| Cherokee Nation | Current | Accepting new patients | |
| Choctaw Nation of Oklahoma | Current | Accepting new patients | |
| Creek Nation Hospital & Clinics | Current | Accepting new patients | |
| Cherokee Nation | Current | Accepting new patients | |
| Pawnee IHS Pharmacy | Past | Accepting new patients |
Locations (25 of 30)
1190 Waianuenue Ave
Hilo, HI 96720
Phone (808) 932-3000
201 E Parker McKenzie Dr
Anadarko, OK 73005
Phone (405) 247-7900
1585 W Liberty Rd
Atoka, OK 74525
Phone (580) 889-1981
1300 E Martin Luther King Dr
Broken Bow, OK 74728
Phone (580) 208-2204
101 S Moore Ave
Claremore, OK 74017
Phone (918) 342-6200
10321 N 2274 Rd
Clinton, OK 73601
Phone (580) 331-3300
1801 Parkview Dr
El Reno, OK 73036
Phone (405) 234-5600
410 N M St
Hugo, OK 74743
Phone (580) 326-7561
902 E Lincoln Rd
Idabel, OK 74745
Phone (580) 286-2600
859 E Melton Dr
Jay, OK 74346
Phone (918) 253-4271
1515 NE Lawrie Tatum Rd
Lawton, OK 73507
Phone (580) 353-0350
1127 S George Nigh Expy
McAlester, OK 74501
Phone (800) 349-7026
1001 S 41st St E
#3
Muskogee, OK 74403
Phone (918) 687-0201
1020 Lenape Dr
Nowata, OK 74048
Phone (918) 273-0192
900 E Airport Rd
Okmulgee, OK 74447
Phone 91875643334448
1401 Morris Dr
Okmulgee, OK 74447
Phone (918) 456-0641
1201 Heritage Cir
Pawnee, OK 74058
Phone (918) 762-2517
109 Kerr Blvd
Poteau, OK 74953
Phone (918) 649-1100
900 N Owen Walters Blvd
Salina, OK 74365
Phone (918) 434-8500
1125 E Cleveland Ave
Sapulpa, OK 74066
Phone (918) 224-9310
2204 E Main St
Stigler, OK 74462
Phone (918) 967-9200
100 S Bliss Ave
Tahlequah, OK 74464
Phone (918) 458-3100
1 Choctaw Way
Talihina, OK 74571
Phone (918) 423-8440
205 Dallas St
Talihina, OK 74571
Phone (918) 567-3636
Dept 1467
Tulsa, OK 74182
Interoperability endpoints
- mwalters21723@hhsc.direct-ci.com
Organizations & group practices 23
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- Hilo, HI
- NPI 1962584060
-
- Rural Health Clinic/Center
- Pahala, HI
- NPI 1144304338
-
- Clinic/Center
- Muskogee, OK
- NPI 1366593923
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Hilo, HI
- NPI 1780757856
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765152000000",
"number": "1962768341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4500 S GARNETT RD STE 300",
"city": "TULSA",
"state": "OK",
"postal_code": "741465238",
"telephone_number": "918-728-6194"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4500 S GARNETT RD STE 300",
"city": "TULSA",
"state": "OK",
"postal_code": "741465238",
"telephone_number": "918-935-3550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALTERS",
"first_name": "MICHAEL",
"middle_name": "JOHN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-04-10",
"last_updated": "2025-12-08",
"certification_date": "2025-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "OK",
"license": "34629",
"primary": false
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "OK",
"license": "34629",
"primary": true
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "HI",
"license": "MD-21972",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.