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

Active since March 31, 2020PECOS EnrolledAccepts Medicare Assignment
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: July 19, 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, is affiliated with Tampa General Hospital, 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
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
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

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

Secondary Practice Location 1

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

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dylan Jarod Walter 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 ID1557886439
PECOS Enrollment IDI20250423002470
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.

Hospital Affiliations CMS Care Compare

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

Tampa General Hospital

Acute Care Hospitals · Tampa, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100128
Location1 Tampa General CirTampa, FL 33606 · Hillsborough County
Emergency services Birthing friendly

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.

Psychiatry & Neurology (Psychiatry)
1324 LAKELAND HILLS BLVD
LAKELAND, FL 33805
Anesthesiology
1324 LAKELAND HILLS BLVD
LAKELAND, FL 33805
Pharmacist (Pharmacotherapy)
1324 LAKELAND HILLS BLVD, LAKELAND REGIONAL MEDICAL CENTER
LAKELAND, FL 33805
Pharmacist (Pharmacotherapy)
1324 LAKELAND HILLS BLVD, LAKELAND REGIONAL MEDICAL CENTER
LAKELAND, FL 33805
Pharmacist (Pharmacotherapy)
1324 LAKELAND HILLS BLVD
LAKELAND, FL 33805
Registered Nurse (Neonatal Intensive Care)
1324 LAKELAND HILLS BLVD
LAKELAND, FL 33805
Emergency Medicine
1324 LAKELAND HILLS BLVD
LAKELAND, FL 33805
Psychiatry & Neurology (Neurology)
1324 LAKELAND HILLS BLVD
LAKELAND, FL 33805

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 system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

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.

Is Dylan Walter affiliated with any hospitals?

According to CMS data, Dylan Walter is affiliated with Tampa General Hospital.

When was this NPI record last updated?

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