ELIOT M WALLACK MD
NPI 1750385449
Psychiatry & Neurology - Neurology in Philadelphia, PA
About Eliot M Wallack Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ELIOT M WALLACK MD (NPI 1750385449) is an individual neurology provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD431377) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS and is a graduate of University Of Maryland School Of Medicine (1972).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Eliot M Wallack 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.
Medicare Billing Reassignments
2Medicare enrollment records show Eliot Wallack reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Philadelphia, PA 19146
- Reassigned Medicare billing, Pennsylvania enrollment
- 3,488 clinicians in this Medicare group
Philadelphia, PA 19104
- Reassigned Medicare billing, Pennsylvania enrollment
- 26 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 4
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 19146 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 9
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PHILADELPHIA, PA 19146
PHILA, PA 19146
PHILADELPHIA, PA 19146
PHILADELPHIA, PA 19146
PHILADELPHIA, PA 19146
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 Eliot Wallack's NPI number?
The NPI number for Eliot Wallack is 1750385449. It was assigned to this individual provider in the NPPES registry on June 9, 2005.
Where is Eliot Wallack located?
Eliot Wallack practices at 1840 South St Tuttleman Building, Philadelphia, PA 19146. The listed phone number is (215) 893-6200.
What is Eliot Wallack's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.
Is Eliot Wallack enrolled in Medicare?
Yes. Eliot Wallack 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.
Which organizations bill Medicare for Eliot Wallack's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Eliot Wallack reassigns Medicare benefits to 2 organizations: University Of Penn-Medical Group (Philadelphia, PA) and Clinical Health Care Associates Of New Jersey, PC (Philadelphia, PA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Eliot Wallack's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Eliot Wallack was last updated on February 10, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Eliot M Wallack, MD · NPI 1750385449
Neurology physician in Philadelphia, Pennsylvania. Individual provider, active in the CMS NPPES registry since June 9, 2005.
## Identity
- **NPI:** 1750385449 (Entity type: Individual)
- **Enumerated:** June 9, 2005
- **Primary specialty:** Psychiatry & Neurology - Neurology · taxonomy 2084N0400X
- **State license:** MD431377 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 1840 SOUTH ST, TUTTLEMAN BUILDING, Philadelphia, PA 19146-7411
- **Phone:** (215) 893-6200
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): University Of Penn-Medical Group (NPI 1760870893, Philadelphia, PA); Clinical Health Care Associates Of New Jersey, PC (NPI 1902844806, Philadelphia, PA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Maryland School Of Medicine, class of 1972
## Record status
- **NPPES last updated:** February 10, 2016
- **Other identifiers:** Medicare UPIN B28229 (IN)
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Source: [NPI Profile](https://npiprofile.com/npi/1750385449) · Data from the CMS NPPES public registry.