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WALLACE PHYSICIAN SERVICES LLC
NPI 1144527870
Internal Medicine in Cincinnati, OH

Active since February 15, 2011
1577 GOODMAN AVE STE A, CINCINNATI, OH 45224(513) 403-3762(513) 521-6403 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018 (2 updates tracked since 2018).

About Wallace Physician Services Llc NPPES

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

WALLACE PHYSICIAN SERVICES LLC (NPI 1144527870) is a healthcare organization registered as an internal medicine in Cincinnati, Ohio and active in the NPI registry since February 2011. The organization maintains a secondary practice location in Cincinnati and lists Waymon L Wallace, President, as its authorized official.

NPPES Registry Identity

NPI1144527870
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameWALLACE PHYSICIAN SERVICES LLC
Location Address1577 GOODMAN AVE STE ACincinnati, OH 45224-1044
Mailing AddressPo Box 40535Cincinnati, OH 45240-0535 · (859) 384-9045 · Fax (859) 212-0949
Phone(513) 403-3762
Fax(513) 521-6403
Organization SubpartNo
Authorized OfficialWaymon L WallacePresident · (513) 674-9601
Enumeration DateFebruary 15, 2011
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1144527870 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in OH · 35-076674
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.
1577 GOODMAN AVE STE A, Cincinnati, OH 45224
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Secondary Practice Location 1

Location 111414 Odessa CtCincinnati, OH 45240-2847 · Phone (859) 384-9045 · Fax (859) 212-0949

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Wallace Physician Services Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Wallace Physician Services LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Waymon Wallace, MD
Internal Medicine
NPI 1841213667
1577 GOODMAN AVE STE A
Cincinnati, OH 45224
(513) 403-3762
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Wallace Physician Services LLC's NPI number?

The NPI number for Wallace Physician Services LLC is 1144527870. It was assigned to this organization in the NPPES registry on February 15, 2011.

Where is Wallace Physician Services LLC located?

Wallace Physician Services LLC is located at 1577 Goodman Ave Ste A, Cincinnati, OH 45224. The listed phone number is (513) 403-3762.

What is Wallace Physician Services LLC's specialty?

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

Is Wallace Physician Services LLC enrolled in Medicare?

Yes. Wallace Physician Services LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Wallace Physician Services LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Wallace Physician Services LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Wallace Physician Services LLC accept?

Health plans from Molina Healthcare list Wallace Physician Services LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Wallace Physician Services LLC was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.