JOHN WALLACE DO
NPI 1699617670
Family Medicine in Kansas City, KS

Q: What is John Wallace's NPI number?

The NPI number for John Wallace is 1699617670. It was assigned to this individual provider in the NPPES registry on April 8, 2026.

Q: What is John Wallace's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for John Wallace was last updated on June 4, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 08, 2026PECOS Enrolled

3901 RAINBOW BLVD, KANSAS CITY, KS 66160(918) 588-1908(918) 588-8387 Get Directions Write a Review

NPPES record last updated: June 4, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 4, 2026, Apr 8, 2026 (2 updates tracked since 2026).

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About John Wallace Do NPPES

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

JOHN WALLACE DO (NPI 1699617670) is an individual family medicine provider in Kansas City, Kansas, licensed in Kansas (94-12738) and active in the NPI registry since April 2026. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1699617670

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameJOHN WALLACECredential: DO

Location Address3901 RAINBOW BLVDKansas City, KS 66160-8500

Mailing Address3901 Rainbow Blvd, Mailstop 4034Kansas City, KS 66160-8500 · (918) 588-1908 · Fax (918) 588-8387

Phone(918) 588-1908

Fax(918) 588-8387

Sole ProprietorNo

Enumeration DateApril 8, 2026

Last NPPES UpdateJune 4, 20262 updates tracked since enumeration

NPPES CertifiedJune 4, 2026

✔ NPI 1699617670 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in KS · 94-12738

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

3901 RAINBOW BLVD, Kansas City, KS 66160

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

John Wallace Do 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 66160 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

$81.98 typical visit price

range $53.00 – $161.67

Typical copayment $20.49 (range $13.25 – $40.41)

Most-billed visit code 99203

Established Patient

$94.12 typical visit price

range $16.88 – $132.11

Typical copayment $23.53 (range $4.22 – $33.02)

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.