JAMES KENNEDY WALL MD
NPI 1952475279
Surgery - Pediatric Surgery in Palo Alto, CA

Q: What is James Wall's NPI number?

The NPI number for James Wall is 1952475279. It was assigned to this individual provider in the NPPES registry on November 20, 2006.

Q: What is James Wall's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Pediatric Surgery, with taxonomy code 2086S0120X.

Q: When was this NPI record last updated?

The NPPES record for James Wall was last updated on April 29, 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.

Active since November 20, 2006PECOS Enrolled

725 WELCH RD, PALO ALTO, CA 94304(650) 497-8000(650) 725-5577 Get Directions Write a Review

NPPES record last updated: April 29, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 29, 2024, Jul 21, 2022, May 23, 2017 (3 updates tracked since 2017).

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About James Kennedy Wall Md NPPES

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

JAMES KENNEDY WALL MD (NPI 1952475279) is an individual pediatric surgery provider in Palo Alto, California, licensed in California (A89820) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1952475279

Entity TypeIndividualMale

Primary Taxonomy2086S0120X

Provider Legal NameJAMES KENNEDY WALLCredential: MD

Location Address725 WELCH RDPalo Alto, CA 94304-1601

Mailing Address725 Welch RdPalo Alto, CA 94304-1601 · (650) 497-8000 · Fax (650) 725-5577

Phone(650) 497-8000

Fax(650) 725-5577

Sole ProprietorNo

Enumeration DateNovember 20, 2006

Last NPPES UpdateApril 29, 20243 updates tracked since enumeration

NPPES CertifiedApril 29, 2024

✔ NPI 1952475279 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Pediatric SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code2086S0120X

License✔ Licensed in CA · A89820

Definition

A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.

Also ListedSurgeryTaxonomy 208600000X · License A89820 (CA)

725 WELCH RD, Palo Alto, CA 94304

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

James Kennedy Wall Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

EIRI INENAGA MS, OTR/L

Occupational Therapist (Pediatrics)