MAX LEE WALLACE JR. M.D.
NPI 1588624282
Radiology - Diagnostic Radiology in New Britain, CT
NPI Status: Active since March 25, 2006
Contact Information
40 HART ST
SUITE B1
NEW BRITAIN, CT
ZIP 06052
Phone: (860) 229-2059
Fax: (860) 229-8495
NPPES record last updated: May 20, 2008. Verified against the NPPES registry weekly; last sync: July 12, 2026.
- Individual
- Male
- Radiology
- Diagnostic Radiology
About MAX WALLACE
This page provides the complete NPI Profile along with additional information for Max Wallace, a provider established in New Britain, Connecticut with a medical specialization in Radiology, focusing in diagnostic radiology . The healthcare provider is registered in the NPI registry with number 1588624282 assigned on March 2006. The practitioner's primary taxonomy code is 2085R0202X with license number 023301 (CT). The provider is registered as an individual and his NPI record was last updated 18 years ago.
- NPI
- 1588624282
- Provider Name
- MAX LEE WALLACE JR. M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 40 HART ST SUITE B1 NEW BRITAIN, CT 06052
- Location Phone
- (860) 229-2059
- Location Fax
- (860) 229-8495
- Mailing Address
- 40 HART ST SUITE B1 NEW BRITAIN, CT 06052
- Mailing Phone
- (860) 229-2059
- Mailing Fax
- (860) 229-8495
- Is Sole Proprietor?
- No
- Enumeration Date
- 03-25-2006
- Last Update Date
- 05-20-2008
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Radiology Diagnostic Radiology
- Taxonomy Code
- 2085R0202X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 023301
- License State
- CT
- Taxonomy Description
- A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 300106345 | OTHER (01) | CT | RAILROAD MEDICARE |
| 300000203 | MEDICARE ID-TYPE UNSPECIFIED (04) | CT | |
| 300117749 | OTHER (01) | CT | RAILROAD MEDICARE |
| 300023202 | OTHER (01) | CT | RAILROAD MEDICARE |
| D77026 | MEDICARE UPIN (02) | CT | |
| 001233014 | MEDICAID (05) | CT | |
| 300003811 | MEDICARE PIN (08) | CT | |
| 010026126CT12 | OTHER (01) | CT | ANTHEM BC/BS |
| 1588624282 | MEDICAID (05) | CT | |
| 300000941 | MEDICARE PIN (08) | CT | |
| 010026126CT03 | OTHER (01) | CT | ANTHEM BC/BS |
| 300000962 | MEDICARE PIN (08) | CT | |
| 300000948 | MEDICARE PIN (08) | CT | |
| 010026126CT14 | OTHER (01) | CT | ANTHEM BC/BS |
| 010026126CT04 | OTHER (01) | CT | ANTHEM BC/BS |
| 010023301CT13 | OTHER (01) | CT | ANTHEM BC/BS |
| 010026126CT07 | OTHER (01) | CT | ANTHEM BC/BS |
| 300000927 | MEDICARE PIN (08) | CT |
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NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1588624282, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 68. The final step is to find the difference between that total and the next multiple of ten (70 - 68 = 2).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 68 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
NEW BRITAIN, CT 06052
NEW BRITAIN, CT 06052
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1588624282, enumerated as an "individual" on March 25, 2006.
The provider is located at 40 HART ST SUITE B1 NEW BRITAIN, CT 06052 and the phone number is (860) 229-2059.
Radiology with taxonomy code 2085R0202X and a focus in Diagnostic Radiology.
The provider might be accepting Accepts: Railroad Medicare, Medicare, Medicaid, Blue Cross. Please consult your insurance carrier or call the provider to verify.
