Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

WALTER MAURICIO SAQUIPULLA
NPI 1457879967
Physician Assistant - Medical in Old Saybrook, CT

Active since September 05, 2017PECOS EnrolledAccepts Medicare Assignment
1687 BOSTON POST RD, OLD SAYBROOK, CT 06475(860) 391-6449(860) 391-6450 Get Directions Write a Review

NPPES record last updated: July 8, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Walter Mauricio Saquipulla NPPES

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

WALTER MAURICIO SAQUIPULLA (NPI 1457879967) is an individual medical provider in Old Saybrook, Connecticut, licensed in Connecticut (5330) and active in the NPI registry since September 2017. He is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1457879967
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameWALTER MAURICIO SAQUIPULLA
Location Address1687 BOSTON POST RDOld Saybrook, CT 06475-1608
Mailing Address1290 Silas Deane HwyWethersfield, CT 06109-4337
Fax(860) 391-6450
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateSeptember 5, 2017
Last NPPES UpdateJuly 8, 2026
NPPES CertifiedJuly 8, 2026
NPI 1457879967 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in CT · 5330
1687 BOSTON POST RD, Old Saybrook, CT 06475

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

Walter Mauricio Saquipulla 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 ID4587077755
PECOS Enrollment IDI20210303003172
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.

Areas of Expertise CMS Part B claims 7

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.

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.
41 services35 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.
40 services40 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
36 services18 patients
Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811
This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.
31 services30 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
17 services12 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
11 services11 patients

Other Providers at the Same Location NPPES

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

Nurse Practitioner (Family)
1687 BOSTON POST RD
OLD SAYBROOK, CT 06475

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 Walter Saquipulla's NPI number?

The NPI number for Walter Saquipulla is 1457879967. It was assigned to this individual provider in the NPPES registry on September 5, 2017.

Where is Walter Saquipulla located?

Walter Saquipulla practices at 1687 Boston Post Rd, Old Saybrook, CT 06475. The listed phone number is (860) 391-6449.

What is Walter Saquipulla's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Walter Saquipulla enrolled in Medicare?

Yes. Walter Saquipulla 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.

When was this NPI record last updated?

The NPPES record for Walter Saquipulla was last updated on July 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 35 days 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.