DR. ADAM N WALLACE MD
NPI 1801117585
Radiology - Neuroradiology in Rockford, IL
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
Specialties & Licenses 3
Secondary Practice Locations 3
Other Identifiers 1
Accepted Insurance
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
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.
Medicare Billing Reassignments
15Medicare enrollment records show Adam Wallace reassigns Medicare billing to 15 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Rockford, IL 61114
- Reassigned Medicare billing, Illinois enrollment
- 1,375 clinicians in this Medicare group
Harvard, IL 60033
- Reassigned Medicare billing, Illinois enrollment
- 382 clinicians in this Medicare group
Janesville, WI 53548
- Reassigned Medicare billing, Illinois and Wisconsin enrollments
- Also billed through NPI 1699728550 (Wisconsin)
- 671 clinicians in this Medicare group
Mount Pleasant, WI 53177
- Reassigned Medicare billing, Wisconsin enrollment
- 237 clinicians in this Medicare group
Milwaukee, WI 53211
- Reassigned Medicare billing, Wisconsin enrollment
- Medicare enrollment name: Columbia St Marys Hospital Milwaukee Inc
- 856 clinicians in this Medicare group
Normal, IL 61761
- Reassigned Medicare billing, Illinois enrollment
- 698 clinicians in this Medicare group
Green Bay, WI 54311
- Reassigned Medicare billing, Wisconsin enrollment
- 394 clinicians in this Medicare group
Duncan, OK 73533
- Reassigned Medicare billing, Wisconsin enrollment
- 4 clinicians in this Medicare group
Valhalla, NY 10595
- Reassigned Medicare billing, New York enrollment
- 1,663 clinicians in this Medicare group
Lindenhurst, NY 11757
- Reassigned Medicare billing, New York and Wisconsin enrollments
- 233 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 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.
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, WIAscension St Francis Hospital
Acute Care Hospitals · Milwaukee, WIAscension All Saints Hospital
Acute Care Hospitals · Racine, WIAscension SE Wisconsin Hospital
Acute Care Hospitals · Milwaukee, WIOther Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ROCKFORD, IL 61114
ROCKFORD, IL 61114
ROCKFORD, IL 61114
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 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.
Where is Adam Wallace located?
Adam Wallace practices at 8201 E Riverside Blvd, Rockford, IL 61114. The listed phone number is (815) 971-5000.
What is Adam Wallace's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Neuroradiology, with taxonomy code 2085N0700X.
Is Adam Wallace enrolled in Medicare?
Yes. Adam 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.
Which organizations bill Medicare for Adam Wallace's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Adam Wallace reassigns Medicare benefits to 15 organizations: Rockford Health Physicians (Rockford, IL), Mercy Harvard Hospital Inc (Harvard, IL), Mercy Health System Corporation (Janesville, WI), Premier Radiology Wisconsin, LLC (Mount Pleasant, WI), Columbia St. Mary's Hospital Milwaukee, Inc (Milwaukee, WI) and 10 more organizations, listed in the Medicare section above. 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 Adam Wallace's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Adam Wallace accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Arizona, Blue Cross and Blue Shield of Texas, CareSource (Common Ground Healthcare) and HMO Louisiana and 4 other insurers list Adam 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.
Is Adam Wallace affiliated with any hospitals?
According to CMS data, Adam Wallace is affiliated with Ascension Columbia St Mary's Hospital Milwaukee, Ascension St Francis Hospital, Ascension All Saints Hospital and Ascension SE Wisconsin Hospital.
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 6 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.
# Dr. Adam N Wallace, MD · NPI 1801117585
Neuroradiology physician in Rockford, Illinois. Individual provider, active in the CMS NPPES registry since June 17, 2010.
## Identity
- **NPI:** 1801117585 (Entity type: Individual)
- **Enumerated:** June 17, 2010
- **Primary specialty:** Radiology - Neuroradiology · taxonomy 2085N0700X
- **State license:** 036.148822 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 8201 E RIVERSIDE BLVD, Rockford, IL 61114-2300
- **Phone:** (815) 971-5000
## 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:** 15 organizations under Medicare reassignment (form CMS-855R): Rockford Health Physicians (NPI 1043242886, Rockford, IL); Mercy Harvard Hospital Inc (NPI 1427001445, Harvard, IL); Mercy Health System Corporation (NPI 1598718603, Janesville, WI); Premier Radiology Wisconsin, LLC (NPI 1952951154, Mount Pleasant, WI); Columbia St. Mary's Hospital Milwaukee, Inc (NPI 1023064482, Milwaukee, WI); and 10 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Illinois College Of Med, class of 2010
## Record status
- **NPPES last updated:** April 22, 2026
- **Other identifiers:** Medicaid 200021565 (MO)
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Source: [NPI Profile](https://npiprofile.com/npi/1801117585) · Data from the CMS NPPES public registry.