DR. OLUKEMI A WALLACE M.D.
NPI 1609804350
Specialist in Inglewood, CA

Active since June 30, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
2220 W MANCHESTER BLVD, INGLEWOOD, CA 90305(310) 644-8400(310) 644-8424 Get Directions Write a Review

NPPES record last updated: August 14, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Olukemi A Wallace M.d. NPPES

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

DR. OLUKEMI A WALLACE M.D. (NPI 1609804350) is an individual specialist in Inglewood, California, licensed in California (A48240) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1985).

NPPES Registry Identity

NPI1609804350
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameDR. OLUKEMI A WALLACECredential: M.D.
Location Address2220 W MANCHESTER BLVDInglewood, CA 90305-2514
Mailing Address15342 Hawthorne Blvd, Suite 102Lawndale, CA 90260-2152 · (310) 644-8400 · Fax (310) 644-8424
Fax(310) 644-8424
Sole ProprietorYes
Medical School CMSOtherGraduated 1985
Enumeration DateJune 30, 2006
Last NPPES UpdateAugust 14, 2024
NPPES CertifiedAugust 14, 2024
NPI 1609804350 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in CA · A48240
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.
2220 W MANCHESTER BLVD, Inglewood, CA 90305

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Olukemi A Wallace M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7012803562
PECOS Enrollment IDI20040521001295
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.

Areas of Expertise CMS Part B claims 41

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
1,560 services19 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
818 services50 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
495 services148 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
468 services97 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
279 services103 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
248 services57 patients

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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality100
Improvement Activities40

Reported Quality Measures

Advance Care Plan
100%65 patients5/55-star benchmark: 100%
Controlling High Blood Pressure
87%46 patients4/55-star benchmark: 98%
Diabetes Mellitus: Diabetic Foot and Ankle Care, Peripheral Neuropathy - Neurological Evaluation
86%29 patients4/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
100%2,339 patients5/55-star benchmark: 100%
Oncology: Medical and Radiation - Plan of Care for Pain
100%406 patients5/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
100%169 patients5/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 100% · 101 patients
100%101 patients5/55-star benchmark: 100%
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling
Patients screened: 100% · 99 patients
100%99 patients
Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older
100%26 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 20

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Sterile water/saline, 500 ml A4217
DME-Medical/Surgical Supplies · category DA000N
1 supplier17 claims1,720 services$0.26 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers18 claims33 services$4.18 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
3 suppliers12 claims18 services$0.75 avg. paid by Medicare
Oropharyngeal suction catheter, each A4628
DME-Other DME · category DE000N
1 supplier16 claims66 services$3.52 avg. paid by Medicare
Tracheostomy care kit for established tracheostomy A4629
DME-Orthotic Devices · category DF000N
1 supplier18 claims540 services$4.46 avg. paid by Medicare
Foam dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing A6210
DME-Medical/Surgical Supplies · category DA023N
1 supplier18 claims106 services$19.31 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 8

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

Nurse Practitioner
2220 W MANCHESTER BLVD
INGLEWOOD, CA 90305
Technician, Pathology (Medical Laboratory)
2220 W MANCHESTER BLVD
INGLEWOOD, CA 90305
Non-Pharmacy Dispensing Site
2220 W MANCHESTER BLVD
INGLEWOOD, CA 90305
Clinic/Center (Radiology)
2220 W MANCHESTER BLVD
INGLEWOOD, CA 90305
Specialist
2220 W MANCHESTER BLVD
INGLEWOOD, CA 90305
Clinical Medical Laboratory
2220 W MANCHESTER BLVD
INGLEWOOD, CA 90305
Internal Medicine
2220 W MANCHESTER BLVD
INGLEWOOD, CA 90305
Internal Medicine (Hematology & Oncology)
2220 W MANCHESTER BLVD
INGLEWOOD, CA 90305

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 Olukemi Wallace's NPI number?

The NPI number for Olukemi Wallace is 1609804350. It was assigned to this individual provider in the NPPES registry on June 30, 2006.

Where is Olukemi Wallace located?

Olukemi Wallace practices at 2220 W Manchester Blvd, Inglewood, CA 90305. The listed phone number is (310) 644-8400.

What is Olukemi Wallace's specialty?

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

Is Olukemi Wallace enrolled in Medicare?

Yes. Olukemi Wallace is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Olukemi Wallace was last updated on August 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.