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DR. KEVIN D WALTER MD
NPI 1316975089
Pediatrics - Sports Medicine in Milwaukee, WI

Active since June 29, 2006PECOS Enrolled
3365 S 103RD ST, GREENWAY MEDICAL CENTER, MILWAUKEE, WI 53227(414) 604-7501(414) 604-7506 Get Directions Write a Review

NPPES record last updated: February 15, 2013. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Kevin D Walter Md NPPES

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

DR. KEVIN D WALTER MD (NPI 1316975089) is an individual sports medicine provider in Milwaukee, Wisconsin, licensed in Wisconsin (41518-020) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1316975089
Entity TypeIndividualMale
Primary Taxonomy2080S0010X
Provider Legal NameDR. KEVIN D WALTERCredential: MD
Location Address3365 S 103RD ST, GREENWAY MEDICAL CENTERMilwaukee, WI 53227-4161
Mailing Address3365 S 103rd St, Greenway Medical CenterMilwaukee, WI 53227-4161 · (414) 604-7501 · Fax (414) 604-7506
Phone(414) 604-7501
Fax(414) 604-7506
Sole ProprietorNo
Enumeration DateJune 29, 2006
Last NPPES UpdateFebruary 15, 2013
✔ NPI 1316975089 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080S0010X
License✔ Licensed in WI · 41518-020
Definition
A pediatrician who is responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the healthcare of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
Also ListedPediatricsTaxonomy 208000000X · License 41518-020 (WI)
3365 S 103RD ST, Milwaukee, WI 53227
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Other Identifiers 4

Medicare UPINH39657
Medicare PIN73601 2068WI
Medicaid1316975089WI
Medicare PIN68086 0814WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare) 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)

Dr. Kevin D 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 Reassignment

Medicare enrollment records show Kevin Walter reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

The Medical College Of Wisconsin, Inc.
4.2 mi
Internal Medicine
8701 WATERTOWN PLANK RD
Milwaukee, WI 53226
  • Reassigned Medicare billing, Wisconsin enrollment
  • 3,983 clinicians in this Medicare group
NPI 1699720086 (414) 955-7101

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.

DR. CHARLOTTE MARIA SHANAVER PHD; LP; HSP
Psychologist
3365 S 103RD ST
MILWAUKEE, WI 53227
Milwaukee County (414) 604-7500
KYLE SCHARER
Specialist/Technologist (Athletic Trainer)
3365 S 103RD ST
MILWAUKEE, WI 53227
Milwaukee County (414) 604-7260
CHERIE SGAMBATI D.O.
Psychiatry & Neurology (Child & Adolescent Psychiatry)
3365 S 103RD ST
MILWAUKEE, WI 53227
Milwaukee County (414) 228-4800
CHILDREN'S MEDICAL GROUP
Clinic/Center (Mental Health (Including Community Mental Health Center))
3365 S 103RD ST
MILWAUKEE, WI 53227
Milwaukee County (414) 228-4800
KENYITA TAMARA BERRYHILL M.D.
Pediatrics
3365 S 103RD ST, SUITE 100
MILWAUKEE, WI 53227
Milwaukee County (414) 321-3951
DAVID MEULER MD
Pediatrics
3365 S 103RD ST
MILWAUKEE, WI 53227
Milwaukee County (414) 321-3951
DR. BRIAN R BUTLER DPT, ATC
Physical Therapist
3365 S 103RD ST
MILWAUKEE, WI 53227
Milwaukee County (414) 604-7530
RENEE EIDE DPT, PT, ATC
Physical Therapist (Sports)
3365 S 103RD ST
MILWAUKEE, WI 53227
Milwaukee County (586) 596-0890

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 Kevin Walter's NPI number?

The NPI number for Kevin Walter is 1316975089. It was assigned to this individual provider in the NPPES registry on June 29, 2006.

Where is Kevin Walter located?

Kevin Walter practices at 3365 S 103rd St Greenway Medical Center, Milwaukee, WI 53227. The listed phone number is (414) 604-7501.

What is Kevin Walter's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Sports Medicine, with taxonomy code 2080S0010X.

Is Kevin Walter enrolled in Medicare?

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

Which organization bills Medicare for Kevin Walter's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kevin Walter reassigns Medicare benefits to The Medical College Of Wisconsin, Inc. (Milwaukee, WI). The 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 Kevin Walter's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kevin Walter accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), Network Health and UnitedHealthcare list Kevin 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 Kevin Walter was last updated on February 15, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.