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DR. TED W WALLIS MD
NPI 1386648228
Specialist in Austin, TX

Active since June 09, 2005PECOS Enrolled
4007 JAMES CASEY ST STE B200, AUSTIN, TX 78745(512) 441-9799 Get Directions Write a Review

NPPES record last updated: June 18, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Ted W Wallis Md NPPES

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

DR. TED W WALLIS MD (NPI 1386648228) is an individual specialist in Austin, Texas, licensed in Texas (E6677) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1386648228
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDR. TED W WALLISCredential: MD
Location Address4007 JAMES CASEY ST STE B200Austin, TX 78745-1181
Mailing Address203 Wallis DrAustin, TX 78746-4637 · (512) 329-9459
Phone(512) 441-9799
Sole ProprietorYes
Enumeration DateJune 9, 2005
Last NPPES UpdateJune 18, 2009
✔ NPI 1386648228 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in TX · E6677
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
4007 JAMES CASEY ST STE B200, Austin, TX 78745
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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. Ted W 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.

Other Providers at the Same Location NPPES

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

CENTRAL TEXAS LUNG ASSOCIATES
Specialist
4007 JAMES CASEY ST STE B200
AUSTIN, TX 78745
Travis County (210) 344-0164

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 Ted Wallis's NPI number?

The NPI number for Ted Wallis is 1386648228. It was assigned to this individual provider in the NPPES registry on June 9, 2005.

Where is Ted Wallis located?

Ted Wallis practices at 4007 James Casey St Ste B200, Austin, TX 78745. The listed phone number is (512) 441-9799.

What is Ted Wallis's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Ted Wallis enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Ted Wallis was last updated on June 18, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.