DR. JOHN BRENT WALLIS MD
NPI 1023004207
Internal Medicine in New Orleans, LA

Active since September 23, 2005PECOS Enrolled
2222 SIMON BOLIVAR AVE, NEW ORLEANS, LA 70113(504) 444-7879 Get Directions Write a Review

NPPES record last updated: September 24, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. John Brent Wallis Md NPPES

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

DR. JOHN BRENT WALLIS MD (NPI 1023004207) is an individual internal medicine provider in New Orleans, Louisiana, licensed in Louisiana (025100) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1023004207
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. JOHN BRENT WALLISCredential: MD
Location Address2222 SIMON BOLIVAR AVENew Orleans, LA 70113-1460
Mailing Address3838 N Causeway Blvd Ste 2500Metairie, LA 70002-8315 · (504) 862-7615
Sole ProprietorNo
Enumeration DateSeptember 23, 2005
Last NPPES UpdateSeptember 24, 2025
NPPES CertifiedSeptember 24, 2025
NPI 1023004207 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in LA · 025100
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedPediatricsTaxonomy 208000000X · License 025100 (LA)
2222 SIMON BOLIVAR AVE, New Orleans, LA 70113

Other Identifiers 1

Medicaid1422355LA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. John Brent Wallis 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70113 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$128.88 typical visit price
range $55.50 – $170.30
Typical copayment $32.22 (range $13.87 – $42.57)
Most-billed visit code 99204
Established Patient
$98.35 typical visit price
range $17.42 – $138.03
Typical copayment $24.58 (range $4.35 – $34.50)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 12

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

Public Health or Welfare
2222 SIMON BOLIVAR AVE
NEW ORLEANS, LA 70113
Public Health or Welfare
2222 SIMON BOLIVAR AVE, 2ND FLOOR
NEW ORLEANS, LA 70113
Clinic/Center (Primary Care)
2222 SIMON BOLIVAR AVE
NEW ORLEANS, LA 70113
Clinic/Center (Primary Care)
2222 SIMON BOLIVAR AVE
NEW ORLEANS, LA 70113
Registered Nurse (Community Health)
2222 SIMON BOLIVAR AVE, 2ND FLOOR
NEW ORLEANS, LA 70113
Clinic/Center (Federally Qualified Health Center (FQHC))
2222 SIMON BOLIVAR AVE, 2ND FLOOR (HOMELESS)
NEW ORLEANS, LA 70113
Nurse Practitioner (Family)
2222 SIMON BOLIVAR AVE, FL 2
NEW ORLEANS, LA 70113
Clinic/Center (Health Service)
2222 SIMON BOLIVAR AVE, 2TH FL.
NEW ORLEANS, LA 70113

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 John Wallis's NPI number?

The NPI number for John Wallis is 1023004207. It was assigned to this individual provider in the NPPES registry on September 23, 2005.

Where is John Wallis located?

John Wallis practices at 2222 Simon Bolivar Ave, New Orleans, LA 70113. The listed phone number is (504) 444-7879.

What is John Wallis's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is John Wallis enrolled in Medicare?

Yes. John Wallis is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for John Wallis was last updated on September 24, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.