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DR. ANGELA WALLACE FADAHUNSI MD
NPI 1780028951
Allergy & Immunology in Wylie, TX

Active since April 18, 2013PECOS EnrolledAccepts Medicare Assignment
611 S HIGHWAY 78 STE 102, WYLIE, TX 75098(972) 954-9826 Get Directions Write a Review

NPPES record last updated: June 13, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 13, 2024, Feb 17, 2022, Sep 3, 2018 and 1 more (4 updates tracked since 2018).

About Dr. Angela Wallace Fadahunsi Md NPPES

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

DR. ANGELA WALLACE FADAHUNSI MD (NPI 1780028951) is an individual allergy & immunology provider in Wylie, Texas, licensed in Texas (R5721) and active in the NPI registry since April 2013. She is enrolled in Medicare PECOS and is a graduate of University Of Texas Medical Branch At Galveston (2013).

NPPES Registry Identity

NPI1780028951
Entity TypeIndividualFemale
Primary Taxonomy207K00000X
Provider Legal NameDR. ANGELA WALLACE FADAHUNSICredential: MD
Location Address611 S HIGHWAY 78 STE 102Wylie, TX 75098
Mailing Address611 S Highway 78 Ste 102Wylie, TX 75098-4085 · (972) 954-9826
Phone(972) 954-9826
Sole ProprietorYes
Medical School CMSUniversity Of Texas Medical Branch At GalvestonGraduated 2013
Enumeration DateApril 18, 2013
Last NPPES UpdateJune 13, 20244 updates tracked since enumeration
NPPES CertifiedJune 13, 2024
✔ NPI 1780028951 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyAllergy & ImmunologyAllopathic & Osteopathic Physicians
Taxonomy Code207K00000X
License✔ Licensed in TX · R5721
Definition
An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system.
Also ListedInternal MedicineTaxonomy 207R00000X · License R5721 (TX)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
611 S HIGHWAY 78 STE 102, Wylie, TX 75098
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Other Names 1

Former Name (1)Angela Latresha Wallace Md

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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

Dr. Angela Wallace Fadahunsi 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 ID1850531849
PECOS Enrollment IDI20181227001779
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.

Other Providers at the Same Location NPPES

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

ALLERGY & ASTHMA CARE OF WYLIE, PLLC
Allergy & Immunology
611 S HIGHWAY 78 STE 102
WYLIE, TX 75098
Collin County (972) 954-9826

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 Angela Fadahunsi's NPI number?

The NPI number for Angela Fadahunsi is 1780028951. It was assigned to this individual provider in the NPPES registry on April 18, 2013. The provider is also known as Angela Latresha Wallace MD.

Where is Angela Fadahunsi located?

Angela Fadahunsi practices at 611 S Highway 78 Ste 102, Wylie, TX 75098. The listed phone number is (972) 954-9826.

What is Angela Fadahunsi's specialty?

The primary specialty registered for this NPI is Allergy & Immunology with taxonomy code 207K00000X.

Is Angela Fadahunsi enrolled in Medicare?

Yes. Angela Fadahunsi 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 Angela Fadahunsi accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list Angela Fadahunsi 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 Angela Fadahunsi was last updated on June 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.