DR. ADAM N WALLACE MD
NPI 1801117585
Radiology - Neuroradiology in Rockford, IL

Q: What is Adam Wallace's NPI number?

The NPI number for Adam Wallace is 1801117585. It was assigned to this individual provider in the NPPES registry on June 17, 2010.

Q: What is Adam Wallace's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Neuroradiology, with taxonomy code 2085N0700X.

Q: When was this NPI record last updated?

The NPPES record for Adam Wallace was last updated on April 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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 June 17, 2010PECOS EnrolledAccepts Medicare Assignment

8201 E RIVERSIDE BLVD, ROCKFORD, IL 61114(815) 971-5000 Get Directions Write a Review

NPPES record last updated: April 22, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 22, 2026, Dec 15, 2023, Dec 4, 2023 and 12 more (15 updates tracked since 2015).

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About Dr. Adam N Wallace Md NPPES

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

DR. ADAM N WALLACE MD (NPI 1801117585) is an individual neuroradiology provider in Rockford, Illinois, licensed in Illinois (036.148822) and active in the NPI registry since June 2010. He is enrolled in Medicare PECOS, is affiliated with Ascension Columbia St Mary's Hospital Milwaukee, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1801117585

Entity TypeIndividualMale

Primary Taxonomy2085N0700X

Provider Legal NameDR. ADAM N WALLACECredential: MD

Location Address8201 E RIVERSIDE BLVDRockford, IL 61114-2300

Mailing Address2301 N Lake Dr Ste 1104Milwaukee, WI 53211-4508 · (414) 585-3223 · Fax (414) 585-3229

Phone(815) 971-5000

Sole ProprietorNo

Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 2010

Enumeration DateJune 17, 2010

Last NPPES UpdateApril 22, 202615 updates tracked since enumeration

NPPES CertifiedApril 22, 2026

✔ NPI 1801117585 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyRadiology · NeuroradiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085N0700X

Licenses✔ Licensed in IL · 036.148822✔ Licensed in WI · 70505-20✔ Licensed in MN · 61898

Definition

A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children.

Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X · License 036.148822 (IL), 70505-20 (WI)

Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X · License 319983 (NY), DR.0068906 (CO), 036.148822 (IL), 70505-20 (WI), 2015013114 (MO)

8201 E RIVERSIDE BLVD, Rockford, IL 61114

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Secondary Practice Locations 3

Location 12301 N Lake Dr Ste 1104Milwaukee, WI 53211-4508 · Phone (414) 215-9375 · Fax (414) 585-3229

Location 27505 Metro Blvd Ste 400Edina, MN 55439 · Phone (612) 573-2200 · Fax (612) 573-2274

Location 32845 Greenbrier RdGreen Bay, WI 54311-6519 · Phone (920) 288-8044 · Fax (920) 288-8355

Other Identifiers 1

Medicaid200021565MO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, CareSource (Common Ground Healthcare), HMO Louisiana 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. Adam N 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 ID4486883014

PECOS Enrollment IDI20190509000180, I20220927002248

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.

Areas of Expertise CMS Part B claims 7

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.

Ct scan head or brain without contrast 70450

A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.

42 services40 patients

Ct scan of blood vessels of head with contrast 70496

A CT scan of the head's blood vessels with contrast is a diagnostic procedure. A special dye (contrast) is injected into your body to make the blood vessels visible on the scan. This helps identify issues like blockages or abnormalities in your head's blood vessels.

23 services23 patients

Mri scan of brain before and after contrast 70553

An MRI scan of the brain, both before and after contrast, helps visualize different brain structures. Initially, images are taken without a contrast agent. Then, a safe dye is injected which helps highlight certain areas, providing clearer, more detailed images.

22 services21 patients

Ct scan of blood vessels of neck with contrast 70498

A CT scan of the neck's blood vessels with contrast is a diagnostic procedure. It uses X-rays and a special dye to create detailed images of your neck's blood vessels. This helps doctors detect issues such as blockages or abnormalities.

21 services21 patients

Mri scan of brain without contrast 70551

An MRI scan of the brain without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to create detailed images of your brain. It helps in detecting abnormalities like tumors, stroke, inflammation, or infection.

17 services17 patients

Mri scan of lower spinal canal without contrast 72148

An MRI scan of the lower spinal canal without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to produce detailed images of your lower spine. This helps identify issues like disc problems, tumors, or nerve conditions. No dye is used.

17 services17 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ascension Columbia St Mary's Hospital Milwaukee

Acute Care Hospitals · Milwaukee, WI

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number520051

Location2323 N Lake DrMilwaukee, WI 53211 · Milwaukee County

Emergency services Birthing friendly

Ascension St Francis Hospital

Acute Care Hospitals · Milwaukee, WI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520078

Location3237 S 16th StMilwaukee, WI 53215 · Milwaukee County

Emergency services

Ascension All Saints Hospital

Acute Care Hospitals · Racine, WI

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number520096

Location3801 Spring StRacine, WI 53405 · Racine County

Emergency services Birthing friendly

Ascension SE Wisconsin Hospital

Acute Care Hospitals · Milwaukee, WI

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number520136

Location5000 W Chambers StMilwaukee, WI 53210 · Milwaukee County

Emergency services Birthing friendly

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.

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