BARRY M WALL MD
NPI 1679688170
Internal Medicine - Nephrology in Memphis, TN

Q: What is Barry Wall's NPI number?

The NPI number for Barry Wall is 1679688170. It was assigned to this individual provider in the NPPES registry on August 21, 2006.

Q: What is Barry Wall's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Q: When was this NPI record last updated?

The NPPES record for Barry Wall was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since August 21, 2006PECOS Enrolled

1030 JEFFERSON AVE, 111B, MEMPHIS, TN 38104(901) 523-8990(901) 577-7487 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Barry M Wall Md NPPES

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

BARRY M WALL MD (NPI 1679688170) is an individual nephrology provider in Memphis, Tennessee, licensed in Tennessee (MD013459) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1679688170

Entity TypeIndividualMale

Primary Taxonomy207RN0300X

Provider Legal NameBARRY M WALLCredential: MD

Location Address1030 JEFFERSON AVE, 111BMemphis, TN 38104-2127

Mailing Address1030 Jefferson Ave, 111bMemphis, TN 38104-2127 · (901) 523-8990 · Fax (901) 577-7487

Phone(901) 523-8990

Fax(901) 577-7487

Sole ProprietorNo

Enumeration DateAugust 21, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1679688170 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians

Taxonomy Code207RN0300X

License✔ Licensed in TN · MD013459

Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

1030 JEFFERSON AVE, Memphis, TN 38104

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Other Identifiers 1

Medicare UPINVAD 000TN

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Barry M Wall 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$121.80 typical visit price

range $52.64 – $160.89

Typical copayment $30.45 (range $13.16 – $40.22)

Most-billed visit code 99204

Established Patient

$93.60 typical visit price

range $16.72 – $131.41

Typical copayment $23.40 (range $4.18 – $32.85)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

MISS DEBORAH GERISE KARTHEISER RN

Registered Nurse (Psychiatric/Mental Health)