DR. CARMELLE WALLACE MD
NPI 1467794891
Pediatrics - Pediatric Emergency Medicine in Aurora, CO

Active since March 24, 2013PECOS Enrolled
97.58/100
CMS Quality Rating
13123 E 16TH AVE, AURORA, CO 80045(720) 777-1234 Get Directions Write a Review

NPPES record last updated: June 23, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 18, 2020, Aug 4, 2020, Apr 15, 2020 (3 updates tracked since 2020).

About Dr. Carmelle Wallace Md NPPES

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

DR. CARMELLE WALLACE MD (NPI 1467794891) is an individual pediatric emergency medicine provider in Aurora, Colorado, licensed in Colorado (DR.0068324) and active in the NPI registry since March 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1467794891
Entity TypeIndividualFemale
Primary Taxonomy2080P0204X
Provider Legal NameDR. CARMELLE WALLACECredential: MD
Location Address13123 E 16TH AVEAurora, CO 80045-7106
Mailing Address1600 7th Ave SBirmingham, AL 35233-1711 · (205) 638-9587
Sole ProprietorNo
Enumeration DateMarch 24, 2013
Last NPPES UpdateJune 23, 20223 updates tracked since enumeration
NPPES CertifiedMay 16, 2022
NPI 1467794891 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPediatrics · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0204X
Licenses Licensed in CO · DR.0068324 Licensed in AL · MD.41020
Definition
A pediatrician who has special qualifications to manage emergencies in infants and children.
Also ListedPediatricsTaxonomy 208000000X · License MD.41020 (AL)
13123 E 16TH AVE, Aurora, CO 80045

Other Names 1

Former Name (1)Dr. Carmelle Tsai Md

Accepted Insurance

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. Carmelle Wallace 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

97.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.53
Promoting Interoperability100
Improvement Activities40

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.

Physician Assistant (Surgical)
13123 E 16TH AVE
AURORA, CO 80045
Anesthesiologist Assistant
13123 E 16TH AVE
AURORA, CO 80045
Registered Nurse (Neonatal Intensive Care)
13123 E 16TH AVE
AURORA, CO 80045
Audiologist
13123 E 16TH AVE, 2ND FLOOR OUTPATIENT PAVILION - AUDIOLOGY
AURORA, CO 80045
Nurse Practitioner (Psychiatric/Mental Health)
13123 E 16TH AVE
AURORA, CO 80045
Nurse Practitioner (Pediatrics)
13123 E 16TH AVE
AURORA, CO 80045
Registered Nurse (Neonatal Intensive Care)
13123 E 16TH AVE
AURORA, CO 80045
Emergency Medicine (Pediatric Emergency Medicine)
13123 E 16TH AVE, AURORA, CO 80045-7106
AURORA, CO 80045

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 Carmelle Wallace's NPI number?

The NPI number for Carmelle Wallace is 1467794891. It was assigned to this individual provider in the NPPES registry on March 24, 2013. The provider is also known as Dr. Carmelle Tsai MD.

Where is Carmelle Wallace located?

Carmelle Wallace practices at 13123 E 16th Ave, Aurora, CO 80045. The listed phone number is (720) 777-1234.

What is Carmelle Wallace's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.

Is Carmelle Wallace enrolled in Medicare?

Yes. Carmelle Wallace is registered in the Medicare PECOS enrollment system.

What insurance does Carmelle Wallace accept?

Health plans from Medica list Carmelle Wallace 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 Carmelle Wallace was last updated on June 23, 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.