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WALLACE PLASTIC SURGERY GROUP, PLLC
NPI 1497473557
Plastic Surgery in Memphis, TN

Active since August 16, 2022
1000 BROOKFIELD RD STE 100, MEMPHIS, TN 38119(901) 779-6538 Get Directions Write a Review

NPPES record last updated: August 16, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Wallace Plastic Surgery Group, Pllc NPPES

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

WALLACE PLASTIC SURGERY GROUP, PLLC (NPI 1497473557) is a healthcare organization registered as a plastic surgery in Memphis, Tennessee and active in the NPI registry since August 2022. The organization lists Robert D Wallace, Owner, as its authorized official.

NPPES Registry Identity

NPI1497473557
Entity TypeOrganization
Primary Taxonomy208200000X
Legal Business NameWALLACE PLASTIC SURGERY GROUP, PLLC
Location Address1000 BROOKFIELD RD STE 100Memphis, TN 38119-0853
Mailing Address1065 Tides Ridge CvMemphis, TN 38120-2625 · (901) 779-6538
Phone(901) 779-6538
Organization SubpartNo
Authorized OfficialRobert D WallaceOwner · (901) 779-6538
Enumeration DateAugust 16, 2022
NPPES CertifiedAugust 16, 2022
✔ NPI 1497473557 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
Definition
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
1000 BROOKFIELD RD STE 100, Memphis, TN 38119
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, 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 Plastic Surgery Group, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Wallace Plastic Surgery Group, PLLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Robert Wallace, MD
Plastic and Reconstructive Surgery
NPI 1023075637
1068 CRESTHAVEN RD STE 500
Memphis, TN 38119
(901) 866-8525
✔ PECOS✔ Accepts Medicare0.1 mi
Sai Ramakrishna Velamuri Venkata, M.D
Plastic and Reconstructive Surgery
NPI 1962631341
2 TAMPA GENERAL CIR
Tampa, FL 33606
(813) 821-8038
✔ PECOS✔ Accepts Medicare661 mi

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 Plastic Surgery Group, PLLC's NPI number?

The NPI number for Wallace Plastic Surgery Group, PLLC is 1497473557. It was assigned to this organization in the NPPES registry on August 16, 2022.

Where is Wallace Plastic Surgery Group, PLLC located?

Wallace Plastic Surgery Group, PLLC is located at 1000 Brookfield Rd Ste 100, Memphis, TN 38119. The listed phone number is (901) 779-6538.

What is Wallace Plastic Surgery Group, PLLC's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Is Wallace Plastic Surgery Group, PLLC enrolled in Medicare?

Yes. Wallace Plastic Surgery Group, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Wallace Plastic Surgery Group, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Plastic and Reconstructive Surgery, reassign their Medicare billing to Wallace Plastic Surgery Group, PLLC. 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. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Wallace Plastic Surgery Group, PLLC accept?

Health plans from Cigna Healthcare and Molina Healthcare list Wallace Plastic Surgery Group, PLLC 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 Plastic Surgery Group, PLLC was last updated on August 16, 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.