DR. SUSAN WALLIS M.D.
NPI 1316065493
Internal Medicine - Rheumatology in New Rochelle, NY
About Dr. Susan Wallis M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SUSAN WALLIS M.D. (NPI 1316065493) is an individual rheumatology provider in New Rochelle, New York, licensed in New York (249294) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Susan Wallis M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Susan Wallis reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Atlanta, GA 30322
- Reassigned Medicare billing, Georgia enrollment
- 4,840 clinicians in this Medicare group
Atlanta, GA 30303
- Reassigned Medicare billing, Georgia enrollment
- 2,681 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 10801 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 17
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
NEW ROCHELLE, NY 10801
NEW ROCHELLE, NY 10801
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 Susan Wallis's NPI number?
The NPI number for Susan Wallis is 1316065493. It was assigned to this individual provider in the NPPES registry on March 27, 2007.
Where is Susan Wallis located?
Susan Wallis practices at 421 Huguenot St Suite 44, New Rochelle, NY 10801. The listed phone number is (914) 235-3065.
What is Susan Wallis's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.
Is Susan Wallis enrolled in Medicare?
Yes. Susan Wallis is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Susan Wallis's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Susan Wallis reassigns Medicare benefits to 2 organizations: The Emory Clinic Inc (Atlanta, GA) and Emory Medical Care Foundation Inc (Atlanta, GA). 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 Susan Wallis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Susan Wallis was last updated on March 12, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Dr. Susan Wallis, M.D. · NPI 1316065493
Rheumatology physician in New Rochelle, New York. Individual provider, active in the CMS NPPES registry since March 27, 2007.
## Identity
- **NPI:** 1316065493 (Entity type: Individual)
- **Enumerated:** March 27, 2007
- **Primary specialty:** Internal Medicine - Rheumatology · taxonomy 207RR0500X
- **State license:** 249294 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 421 HUGUENOT ST, SUITE 44, New Rochelle, NY 10801-7004
- **Phone:** (914) 235-3065
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): The Emory Clinic Inc (NPI 1396798229, Atlanta, GA); Emory Medical Care Foundation Inc (NPI 1063452381, Atlanta, GA) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 12, 2012
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Source: [NPI Profile](https://npiprofile.com/npi/1316065493) · Data from the CMS NPPES public registry.