Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Michael John Walta, MD

Individual provider Emergency Medicine Physician · NPI 1770643272

Dr. Michael John Walta, MD is an Emergency Medicine in Albuquerque, New Mexico. Graduated from University of New Mexico School of Medicine in 2003, 23 years ago. Practices with St Vincent Hospital, a 332-clinician group and accepts Medicare assignment. Licensed in Massachusetts and New Mexico.

Years since qualifying
23
Trained at
University of New Mexico School of Medicine
Licensed in
MA, NM
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1100 Central Ave SE
Albuquerque, NM 87106-4930
Phone: (505) 841-1125
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence MD2008-0144 (NM)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 218547 (MA)

Record details

NPI number1770643272
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedDecember 12, 2006
Last updated in NPPESJanuary 7, 2020
Certification dateJanuary 7, 2020
Mailing addressPo Box 26666, Phs Provider Enrollment, Albuquerque, NM 87125-6666

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolUNIVERSITY OF NEW MEXICO SCHOOL OF MEDICINE
Graduated 2003 (23 years in practice)
Group practice St Vincent Hospital — 332 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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