DAVID WALLACE DO
NPI 1932193604
Anesthesiology in Draper, UT
About David Wallace Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DAVID WALLACE DO (NPI 1932193604) is an individual anesthesiology provider in Draper, Utah, licensed in Utah (272263-1205) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with Dupont Hospital Llc, and is a graduate of Michigan State University College Of Osteopathic Medicine (1986).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
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
David Wallace Do 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Dupont Hospital LLC
Acute Care Hospitals · Fort Wayne, INMedicare 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.
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 David Wallace's NPI number?
The NPI number for David Wallace is 1932193604. It was assigned to this individual provider in the NPPES registry on September 8, 2005.
Where is David Wallace located?
David Wallace practices at 738 Golden Pheasant Dr, Draper, UT 84020. The listed phone number is (801) 403-7980.
What is David Wallace's specialty?
The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.
Is David Wallace enrolled in Medicare?
Yes. David 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.
Is David Wallace affiliated with any hospitals?
According to CMS data, David Wallace is affiliated with Dupont Hospital LLC.
When was this NPI record last updated?
The NPPES record for David Wallace was last updated on October 10, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.