DR. WALTER HENRY HALLORAN MD NPI 1053486191

NPI Information

  • NPI: 1053486191
  • Provider Name: DR. WALTER HENRY HALLORAN, MD
  • Classification: Thoracic Surgery (Cardiothoracic Vascular Surgery) - 208G00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 500 ARCADE AVE STE 230
    ELKHART, IN
    ZIP 46514
  • Phone: (574) 522-6565

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NPI Details

DR. Walter Henry Halloran, MD is a thoracic surgery cardiothoracic vascular surgery in Elkhart, IN with 42 years of experience. The provider is a thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. DR. Walter Henry Halloran, MD NPI is 1053486191. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduation Year:1984

The provider's business location address is:

500 ARCADE AVE STE 230
ELKHART, IN
ZIP 46514-485
Phone: (574) 522-6565
Fax: (574) 522-5572

The NPI 1053486191 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • New patient office or other outpatient visit, 60-74 minutes (HCPCS:99205)
  • Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional (HCPCS:99211)
  • Harvest of vein using an endoscope (HCPCS:33508)
  • Follow-up hospital inpatient care per day, typically 15 minutes (HCPCS:99231)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Coronary artery bypass using artery graft, 1 graft (HCPCS:33533)
  • Initial hospital inpatient care per day, typically 30 minutes (HCPCS:99221)
  • Removal of blood clot and portion of chest, neck, or brain artery (HCPCS:35301)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Insertion of pacemaker and upper and lower heart chamber electrode (HCPCS:33208)
  • Replacement of aortic valve by through femoral artery (HCPCS:33362)
  • Coronary artery bypass using vein or artery graft, 3 grafts (HCPCS:33519)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Initial hospital inpatient care per day, typically 70 minutes (HCPCS:99223)
  • Harvest of arm artery segment for heart byplass procedure (HCPCS:35600)
  • Coronary artery bypass using artery graft, 2 grafts (HCPCS:33534)
  • Replacement of aortic valve on heart-lung machine (HCPCS:33405)
  • Coronary artery bypass graft (CABG) (HCPCS:NAN07)
  • Pacemaker insertion or repair (HCPCS:NAN10)
  • Leg revascularization (restoring blood flow) (HCPCS:NAN01)

The enumeration date for this NPI number is 11/22/2006 and was last updated on 3/30/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery)01039629INDIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1100103250MEDICAIDINDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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