ISHMEET WALIA MD
NPI 1174840862
Internal Medicine - Nephrology in Orange City, FL

Q: What is Ishmeet Walia's NPI number?

The NPI number for Ishmeet Walia is 1174840862. It was assigned to this individual provider in the NPPES registry on April 21, 2010.

Q: What is Ishmeet Walia's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Q: When was this NPI record last updated?

The NPPES record for Ishmeet Walia was last updated on July 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 21, 2010PECOS EnrolledAccepts Medicare Assignment

75.59/100

CMS Quality Rating

2877 WELLNESS AVE, ORANGE CITY, FL 32763(386) 668-4650(386) 668-4649 Get Directions Write a Review

NPPES record last updated: July 12, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 12, 2024, Sep 28, 2015 (2 updates tracked since 2015).

On this page

About Ishmeet Walia Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ISHMEET WALIA MD (NPI 1174840862) is an individual nephrology provider in Orange City, Florida, licensed in Florida (ME166024) and active in the NPI registry since April 2010. She is enrolled in Medicare PECOS, is affiliated with Adventhealth Deland, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1174840862

Entity TypeIndividualFemale

Primary Taxonomy207RN0300X

Provider Legal NameISHMEET WALIACredential: MD

Location Address2877 WELLNESS AVEOrange City, FL 32763-8396

Mailing Address2877 Wellness AveOrange City, FL 32763-8396 · (386) 668-4650 · Fax (386) 668-4649

Phone(386) 668-4650

Fax(386) 668-4649

Sole ProprietorYes

Medical School CMSOtherGraduated 2007

Enumeration DateApril 21, 2010

Last NPPES UpdateJuly 12, 20242 updates tracked since enumeration

NPPES CertifiedJuly 12, 2024

✔ NPI 1174840862 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians

Taxonomy Code207RN0300X

License✔ Licensed in FL · ME166024

Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

2877 WELLNESS AVE, Orange City, FL 32763

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ishmeet Walia Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9133430895

PECOS Enrollment IDI20240326002173

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Ishmeet Walia reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Florida Kidney And Hypertension Specialists PA

Same address

Specialist

2877 WELLNESS AVE
Orange City, FL 32763

Reassigned Medicare billing, Florida enrollment
11 clinicians in this Medicare group

NPI 1952557860 (386) 668-4650

Hendrick Provider Network

1,124 mi

Internal Medicine

1904 PINE ST, SUITE 200
Abilene, TX 79601

Reassigned Medicare billing, Texas enrollment
420 clinicians in this Medicare group

NPI 1396961322 (325) 670-4220

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 13

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Dialysis services, per day, less than full month service (20 years or older) 90970

Dialysis is a treatment that replicates some functions of healthy kidneys when they're not working properly. It helps to remove waste, salt, and excess water from your body and maintain a safe level of certain chemicals in your blood. This service, for patients aged 20 or older, is provided on a daily basis for less than a full month.

618 services30 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

527 services202 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

492 services193 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

268 services250 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

211 services198 patients

Dialysis services, 2-3 physician visits per month (20 years or older) 90961

Dialysis is a treatment that performs the function of healthy kidneys if they're not working properly. It removes waste and excess fluid from your blood. 2-3 physician visits per month are recommended for monitoring your health and adjusting your treatment as needed. This service is available for those aged 20 years and older.

181 services89 patients

Dialysis services, 1 physician visit per month (20 years or older) 90962

Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys canâ€™t do their job. A physician visit once a month ensures your treatment is working effectively and adjusts it if necessary. This service is available for individuals aged 20 years and older.

159 services76 patients

Dialysis services, 4 or more physician visits per month (20 years or older) 90960

Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.

85 services61 patients

Home dialysis services per month (20 years or older) 90966

Home dialysis services provide kidney treatment for patients aged 20 or older right in their own homes. This service includes necessary equipment, supplies, and support for performing dialysis. It's a convenient option that allows patients to maintain their daily routines while receiving essential care.

85 services27 patients

Hemodialysis procedure with physician evaluation 90935

Hemodialysis is a treatment that uses a machine to filter waste and excess fluid from your blood when your kidneys can't. A physician checks your health before, during, and after the procedure to ensure it's working effectively for you.

64 services27 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

53 services53 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

51 services51 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

29 services20 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Adventhealth Deland

Acute Care Hospitals · Deland, FL

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number100045

Location701 W Plymouth AveDeland, FL 32720 · Volusia County

Emergency services

Adventhealth Fish Memorial

Acute Care Hospitals · Orange City, FL

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number100072

Location1055 Saxon BlvdOrange City, FL 32763 · Volusia County

Emergency services Birthing friendly

Central Florida Lake Monroe Hospital

Acute Care Hospitals · Sanford, FL

2/5 CMS rating

OwnershipProprietary

CMS Certification Number100161

Location1401 W Seminole BlvdSanford, FL 32771 · Seminole County

Emergency services

Halifax Health /Uf Health Medical Center Of Delton

Acute Care Hospitals · Deltona, FL

OwnershipGovernment - Local

CMS Certification Number100330

Location3300 Halifax Crossings BlvdDeltona, FL 32725 · Volusia County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32763 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$130.04 typical visit price

range $56.00 – $171.84

Typical copayment $32.51 (range $14.00 – $42.96)

Most-billed visit code 99204

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75.59/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

73.29

Promoting Interoperability

Improvement Activities

Cost

25.87

Reported Quality Measures

Breast Cancer Screening

37%200 patients2/55-star benchmark: 93%

Cervical Cancer Screening

26%100 patients2/55-star benchmark: 98%

Closing the Referral Loop: Receipt of Specialist Report

55%44 patients3/55-star benchmark: 87%

Controlling High Blood Pressure

76%385 patients4/55-star benchmark: 91%

Coronary Artery Disease (CAD): Beta-Blocker Therapy Prior Myocardial Infarction (MI) or Left Ventricular Systolic Dysfunction (LVEF <= 40%)

85%47 patients4/55-star benchmark: 99%

Diabetes: Eye Exam

15%263 patients1/55-star benchmark: 100%

Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)

Lower rates are better for this measure.

59%263 patients2/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

73%1,336 patients3/55-star benchmark: 100%

e-Prescribing

94%306 patients2/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

14%618 patients1/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

26%789 patients2/55-star benchmark: 98%

Preventive Care and Screening: Screening for Depression and Follow-Up Plan

7%642 patients1/55-star benchmark: 97%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

29%275 patients2/55-star benchmark: 61%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 34% · 807 patients

Patients screened: 37% · 807 patients

39%33 patients2/55-star benchmark: 100%

Provide Patients Electronic Access to Their Health Information

79%273 patients4/55-star benchmark: 100%

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

87%529 patients4/55-star benchmark: 91%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 1% · 603 patients

Patients totalRate: 12% · 617 patients

12%617 patients3/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tacrolimus, immediate release, oral, 1 mg J7507

Treatment-Treatment - Miscellaneous · category RX029N

2 suppliers13 claims1,125 services$0.25 avg. paid by Medicare

Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511

Treatment-Chemotherapy · category RH012N

4 suppliers22 claims22 services$14.66 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ROHAN K DESAI M.D.

Internal Medicine (Nephrology)