DAVID WARNER WALLACE MD
NPI 1700327061
Anesthesiology - Pediatric Anesthesiology in Phoenix, AZ

Active since March 19, 2017PECOS EnrolledAccepts Medicare Assignment
1919 E THOMAS RD, PHOENIX, AZ 85016(602) 933-0000 Get Directions Write a Review

NPPES record last updated: September 13, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 13, 2022, Aug 12, 2022, Jul 12, 2022 and 1 more (4 updates tracked since 2017).

About David Warner Wallace Md NPPES

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

DAVID WARNER WALLACE MD (NPI 1700327061) is an individual pediatric anesthesiology provider in Phoenix, Arizona, licensed in Arizona (67086) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS, maintains a secondary practice location in Mission Viejo, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1700327061
Entity TypeIndividualMale
Primary Taxonomy207LP3000X
Provider Legal NameDAVID WARNER WALLACECredential: MD
Location Address1919 E THOMAS RDPhoenix, AZ 85016-7710
Mailing Address2108 E Thomas Rd, Ste 130Phoenix, AZ 85016-7761 · (602) 933-3124
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateMarch 19, 2017
Last NPPES UpdateSeptember 13, 20224 updates tracked since enumeration
NPPES CertifiedSeptember 13, 2022
NPI 1700327061 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyAnesthesiology · Pediatric AnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207LP3000X
License Licensed in AZ · 67086
Definition
An anesthesiologist who has had additional skill and experience in and is primarily concerned with the anesthesia, sedation, and pain management needs of infants and children. A pediatric anesthesiologist generally provides services including the evaluation of complex medical problems in infants and children when surgery is necessary, planning and care for children before and after surgery, pain control, anesthesia and sedation for any procedures out of the operating room such as MRI, CT scan, and radiation therapy.
Also ListedAnesthesiologyTaxonomy 207L00000X · License A158148 (CA)
1919 E THOMAS RD, Phoenix, AZ 85016

Secondary Practice Location 1

Location 124606 Mosquero LnMission Viejo, CA 92691-4913 · Phone (949) 322-1937

Accepted Insurance

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

David Warner Wallace Md 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 ID9032590963
PECOS Enrollment IDI20230123002379
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 85016 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
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
Most-billed visit code 99213
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.

Hospitalist
1919 E THOMAS RD
PHOENIX, AZ 85016
Dietitian, Registered
1919 E THOMAS RD
PHOENIX, AZ 85016
Anesthesiology (Pediatric Anesthesiology)
1919 E THOMAS RD
PHOENIX, AZ 85016
Social Worker (Clinical)
1919 E THOMAS RD
PHOENIX, AZ 85016
Pediatrics
1919 E THOMAS RD
PHOENIX, AZ 85016
Pediatrics
1919 E THOMAS RD
PHOENIX, AZ 85016
Pediatrics (Pediatric Gastroenterology)
1919 E THOMAS RD
PHOENIX, AZ 85016
Nurse Practitioner (Pediatrics)
1919 E THOMAS RD
PHOENIX, AZ 85016

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 David Wallace's NPI number?

The NPI number for David Wallace is 1700327061. It was assigned to this individual provider in the NPPES registry on March 19, 2017.

Where is David Wallace located?

David Wallace practices at 1919 E Thomas Rd, Phoenix, AZ 85016. The listed phone number is (602) 933-0000.

What is David Wallace's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Pediatric Anesthesiology, with taxonomy code 207LP3000X.

Is David Wallace enrolled in Medicare?

Yes. David 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.

What insurance does David Wallace accept?

Health plans from Medica list David Wallace 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 David Wallace was last updated on September 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.