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DYLAN JAROD WALTER MD
NPI 1205464567
Student in an Organized Health Care Education/Training Program in Lakeland, FL

Active since March 31, 2020PECOS Enrolled
1324 LAKELAND HILLS BLVD, LAKELAND, FL 33805(863) 687-1100 Get Directions Write a Review

NPPES record last updated: June 3, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 3, 2025, Mar 31, 2020 (2 updates tracked since 2020).

About Dylan Jarod Walter Md NPPES

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

DYLAN JAROD WALTER MD (NPI 1205464567) is an individual student in an organized health care education/training program in Lakeland, Florida and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS and maintains a secondary practice location in Washington.

NPPES Registry Identity

NPI1205464567
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDYLAN JAROD WALTERCredential: MD
Location Address1324 LAKELAND HILLS BLVDLakeland, FL 33805-4543
Mailing Address501 Knights Run AveTampa, FL 33602-5938 · (830) 708-8584
Phone(863) 687-1100
Sole ProprietorYes
Enumeration DateMarch 31, 2020
Last NPPES UpdateJune 3, 20252 updates tracked since enumeration
NPPES CertifiedJune 3, 2025
✔ NPI 1205464567 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedInternal MedicineTaxonomy 207R00000X · License ME170075 (FL)
Also ListedHospitalistTaxonomy 208M00000X · License ME170075 (FL)
1324 LAKELAND HILLS BLVD, Lakeland, FL 33805
Open in Google Maps ↗

Secondary Practice Location 1

Location 13800 Reservoir Rd NW Dept OfWashington, DC 20007-2113 · Phone (202) 444-8168 · Fax (877) 303-1460

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Health First Commercial Plans, Inc. 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 (PECOS)

Dylan Jarod Walter Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

2

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

Lakeland Regional Health Systems, Inc.
Same address
Multi-Specialty
1324 LAKELAND HILLS BLVD, FINANCE DEPARTMENT
Lakeland, FL 33805
  • Reassigned Medicare billing, Florida enrollment
  • 740 clinicians in this Medicare group
NPI 1497748743 (863) 687-7251
Tampa General Medical Group Inc
21 mi
Internal Medicine
2211 LITHIA CENTER LN
Valrico, FL 33596
  • Reassigned Medicare billing, Florida enrollment
  • 419 clinicians in this Medicare group
NPI 1245895549 (813) 660-7100

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

Other Providers at the Same Location NPPES 20

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

CHRISTIAN ABREU-RAMIREZ MD
Internal Medicine (Pulmonary Disease)
1324 LAKELAND HILLS BLVD
LAKELAND, FL 33805
Polk County (863) 687-1100
JARED MCLAUGHLIN
Emergency Medicine
1324 LAKELAND HILLS BLVD
LAKELAND, FL 33805
Polk County (863) 687-1100
JEFF RIGBY DO
Student in an Organized Health Care Education/Training Program
1324 LAKELAND HILLS BLVD
LAKELAND, FL 33805
Polk County (863) 687-1100
ANDREA BEALE A.R.N.P.
Nurse Practitioner
1324 LAKELAND HILLS BLVD
LAKELAND, FL 33805
Polk County (863) 284-5020
MR. TAMI LYNN HOWER ARNP
Nurse Practitioner (Family)
1324 LAKELAND HILLS BLVD
LAKELAND, FL 33805
Polk County (863) 687-1321
DR. ADALBERTO ALFONSO MD
Emergency Medicine
1324 LAKELAND HILLS BLVD
LAKELAND, FL 33805
Polk County (863) 687-1359
DR. BISHOY KOLTA M.D.
Psychiatry & Neurology (Psychiatry)
1324 LAKELAND HILLS BLVD
LAKELAND, FL 33805
Polk County (863) 687-1275
MICALEIGH NOLL PHARMD
Pharmacist
1324 LAKELAND HILLS BLVD
LAKELAND, FL 33805
Polk County (863) 687-1100

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dylan Walter's NPI number?

The NPI number for Dylan Walter is 1205464567. It was assigned to this individual provider in the NPPES registry on March 31, 2020.

Where is Dylan Walter located?

Dylan Walter practices at 1324 Lakeland Hills Blvd, Lakeland, FL 33805. The listed phone number is (863) 687-1100.

What is Dylan Walter's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Dylan Walter enrolled in Medicare?

Yes. Dylan Walter is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Dylan Walter's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dylan Walter reassigns Medicare benefits to 2 organizations: Lakeland Regional Health Systems, Inc. (Lakeland, FL) and Tampa General Medical Group Inc (Valrico, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Dylan Walter's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Dylan Walter accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Health First Commercial Plans, Inc. and Oscar Health Maintenance Organization of Florida list Dylan Walter as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Dylan Walter was last updated on June 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.