MAX JOSEPH WALLACK
NPI 1043839814
Radiology - Diagnostic Radiology in Jacksonville, FL
About Max Joseph Wallack NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MAX JOSEPH WALLACK (NPI 1043839814) is an individual diagnostic radiology provider in Jacksonville, Florida, licensed in Florida (ME176656) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS, is affiliated with Shands Jacksonville, and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Max Joseph Wallack 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.
Medicare Billing Reassignments
4Medicare enrollment records show Max Wallack reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Jacksonville, FL 32209
- Reassigned Medicare billing, Florida enrollment
- 1,456 clinicians in this Medicare group
Daytona Beach, FL 32117
- Reassigned Medicare billing, Florida enrollment
- 189 clinicians in this Medicare group
Wesley Chapel, FL 33544
- Reassigned Medicare billing, Florida enrollment
- 173 clinicians in this Medicare group
Tampa, FL 33647
- Reassigned Medicare billing, Florida enrollment
- Medicare enrollment name: St Josephs Diagnostic Center LLC
- 125 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Shands Jacksonville
Acute Care Hospitals · Jacksonville, FLPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 32209 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
JACKSONVILLE, FL 32209
JACKSONVILLE, FL 32209
JACKSONVILLE, FL 32209
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 Max Wallack's NPI number?
The NPI number for Max Wallack is 1043839814. It was assigned to this individual provider in the NPPES registry on April 13, 2020.
Where is Max Wallack located?
Max Wallack practices at 655 W 8th St, Jacksonville, FL 32209. The listed phone number is (774) 270-0554.
What is Max Wallack's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.
Is Max Wallack enrolled in Medicare?
Yes. Max Wallack 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.
Which organizations bill Medicare for Max Wallack's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Max Wallack reassigns Medicare benefits to 4 organizations: University Of Florida Jacksonville Physicians Inc (Jacksonville, FL), Radiology Imaging Associates, LLC (Daytona Beach, FL), Baycare Outpatient Imaging LLC (Wesley Chapel, FL) and St Joseph's Diagnostic Center LLC (Tampa, FL). Each 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 Max Wallack's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Max Wallack affiliated with any hospitals?
According to CMS data, Max Wallack is affiliated with Shands Jacksonville.
When was this NPI record last updated?
The NPPES record for Max Wallack was last updated on October 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.
# Max Joseph Wallack · NPI 1043839814
Diagnostic Radiology physician in Jacksonville, Florida. Individual provider, active in the CMS NPPES registry since April 13, 2020.
## Identity
- **NPI:** 1043839814 (Entity type: Individual)
- **Enumerated:** April 13, 2020
- **Primary specialty:** Radiology - Diagnostic Radiology · taxonomy 2085R0202X
- **State license:** ME176656 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 655 W 8TH ST, Jacksonville, FL 32209-6511
- **Phone:** (774) 270-0554
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): University Of Florida Jacksonville Physicians Inc (NPI 1295995561, Jacksonville, FL); Radiology Imaging Associates, LLC (NPI 1063400729, Daytona Beach, FL); Baycare Outpatient Imaging LLC (NPI 1235898529, Wesley Chapel, FL); St Joseph's Diagnostic Center LLC (NPI 1821527474, Tampa, FL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** October 30, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1043839814) · Data from the CMS NPPES public registry.