Individual provider Active NPI

Walter L Taylor III, M.D.

  • Neurology Physician
  • Rockwall, TX
National Provider Identifier
1992709620
Registry record updated Feb 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
J9378 Issued in TX
Practice address
6701 Heritage Pkwy
Ste 110
Rockwall, TX 75087-8799
Phone
(972) 412-8700
Fax
(972) 412-9700
NPI assigned
Jun 10, 2005
Reactivated
Mar 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X J9378 TX Primary

Addresses

Primary practice location

6701 Heritage Pkwy
Ste 110
Rockwall, TX 75087-8799

Mailing address

6701 Heritage Pkwy
Ste 110
Rockwall, TX 75087-8799
Phone (972) 412-8700

Other identifiers 3

IdentifierTypeStateIssuer
035932501MedicaidTX
2277317OtherTXAETNA
85700GOtherTXBCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041015000081 TX Practitioner - Neurology 3375503253 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Loma Linda University School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sheth, MD, P.a.Group PAC ID 1153411483, 24 clinicians

Practice addresses (Care Compare)

5375 Coit Rd
Suite 130
Frisco, TX 75035-4910
Phone (214) 619-1910

Hospital & facility affiliations

  • Home Health Professionals Dallas Home health agency, Dallas, TX, CCN 457812
  • Paradigm Homecare Home health agency, Plano, TX, CCN 747818
  • Healing Touch Homecare LLC Home health agency, Greenville, TX, CCN 747052
  • Hunt Regional Medical Center Hospital, Greenville, TX, CCN 450352
  • Baylor Scott and White Medical Center Lake Pointe Hospital, Rowlett, TX, CCN 450742
  • Texas Health Presbyterian Hospital Rockwall Hospital, Rockwall, TX, CCN 670044
  • Christus Mother Frances Hospital Sulphur Springs Hospital, Sulphur Springs, TX, CCN 450236
  • Texas Health Presbyterian Hospital Kaufman Hospital, Kaufman, TX, CCN 450292
  • Baylor Scott & White Institute for Rehabilitation Inpatient rehabilitation facility, Dallas, TX, CCN 453036

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy16

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Neurology, PA Specialist CurrentSince Aug 7, 1997 Accepting new patients
Sheth, MD, P.a. Neurology CurrentSince Dec 1, 2022 Accepting new patients

Locations

5375 Coit Rd
Ste 130
Frisco, TX 75035

6800 Heritage Pkwy
Ste 201
Rockwall, TX 75087
Phone (972) 412-8700

6701 Heritage Pkwy
Ste 110
Rockwall, TX 75087
Phone (972) 412-8700

Organizations & group practices 2

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.

Hospital & facility affiliations 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1118361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676851200000",
    "number": "1992709620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6701 HERITAGE PKWY",
            "address_2": "STE 110",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750878799",
            "telephone_number": "972-412-8700",
            "fax_number": "972-412-9700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6701 HERITAGE PKWY",
            "address_2": "STE 110",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750878799",
            "telephone_number": "972-412-8700",
            "fax_number": "972-412-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "WALTER",
        "middle_name": "L",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-10",
        "last_updated": "2023-02-20",
        "certification_date": "2023-02-20",
        "deactivation_date": "2006-03-15",
        "reactivation_date": "2006-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "J9378",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "035932501",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2277317",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "85700G",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockwall, TX

Sources for this page

Verify at the official NPI Registry.