ANDREW WALLS M.D.
NPI 1831546928
Pediatrics - Pediatric Critical Care Medicine in Las Vegas, NV

Q: What is Andrew Walls's NPI number?

The NPI number for Andrew Walls is 1831546928. It was assigned to this individual provider in the NPPES registry on May 18, 2016.

Q: What is Andrew Walls's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Q: When was this NPI record last updated?

The NPPES record for Andrew Walls was last updated on April 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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 May 18, 2016PECOS Enrolled

1800 W CHARLESTON BLVD, LAS VEGAS, NV 89102(267) 795-8545 Get Directions Write a Review

NPPES record last updated: April 25, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 20, 2018, May 18, 2016 (2 updates tracked since 2016).

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About Andrew Walls M.d. NPPES

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

ANDREW WALLS M.D. (NPI 1831546928) is an individual pediatric critical care medicine provider in Las Vegas, Nevada, licensed in Nevada (26926) and active in the NPI registry since May 2016. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Georgetown University School Of Medicine (2016).

NPPES Registry Identity

NPI1831546928

Entity TypeIndividualMale

Primary Taxonomy2080P0203X

Provider Legal NameANDREW WALLSCredential: M.D.

Location Address1800 W CHARLESTON BLVDLas Vegas, NV 89102-2329

Mailing Address1800 W Charleston BlvdLas Vegas, NV 89102-2329 · (267) 795-8545

Phone(267) 795-8545

Sole ProprietorNo

Medical School CMSGeorgetown University School Of MedicineGraduated 2016

Enumeration DateMay 18, 2016

Last NPPES UpdateApril 25, 20252 updates tracked since enumeration

NPPES CertifiedApril 25, 2025

✔ NPI 1831546928 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080P0203X

License✔ Licensed in NV · 26926

Definition

A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.

Also ListedPediatricsTaxonomy 208000000X · License 4301115442 (MI)

1800 W CHARLESTON BLVD, Las Vegas, NV 89102

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Secondary Practice Locations 2

Location 1330 Barclay Ave NE Ste 300Grand Rapids, MI 49503 · Phone (616) 391-8897

Location 2800 Howard Ave Fl 4New Haven, CT 06519-1369 · Phone (203) 785-2593

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Andrew Walls M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9739473471

PECOS Enrollment IDI20251029004555

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 20

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

MICHAEL M LEE MD

Internal Medicine