Blake Wallace, DPM
NPI 1083216949 · Foot & Ankle Surgery Podiatrist · Phoenix, AZ
Enrolled with Medicare as Practitioner - Podiatry · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Blake Wallace, DPM is a Foot & Ankle Surgery Podiatrist provider in Phoenix, AZ (NPI 1083216949).
Provider details
- NPI number
- 1083216949
- Entity type
- Individual
- Primary specialty
- Foot & Ankle Surgery PodiatristPodiatric Medicine & Surgery Service Providers
- Credential
- DPM
- Sex
- Male
- Sole proprietor
- Yes
- License
- POD-001117 (AZ)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure33% of score
5 yrs in NPPES registry
- Profile completeness33% of score
100% of core fields populated
- Practice footprint20% of score
3 documented practice locations
- Open Payments transparency13% of score
Has Open Payments disclosures (2024)
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$2,680 across 45 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (2)
- 3100 Telegraph AveOakland, CA 94609-3239Phone: (800) 607-6377
- 8414 Naab Rd Ste 215Indianapolis, IN 46260-1972Phone: (317) 338-7510
Registry dates
- Enumerated
- 2020-11-14
- Last updated
- 2024-07-29
- Certified
- 2024-07-29
Frequently asked questions
- What is Blake Wallace's NPI number?
- Blake Wallace's National Provider Identifier (NPI) is 1083216949, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Blake Wallace's specialty?
- Blake Wallace is listed in the NPPES registry with a primary specialty of Foot & Ankle Surgery Podiatrist (Podiatric Medicine & Surgery Service Providers).
- Where is Blake Wallace located?
- Blake Wallace's practice location on file with NPPES is 15601 N 28th Ave Ste 102, Phoenix, AZ 85053-4061.
- What is Blake Wallace's phone number?
- The practice phone number listed in the NPPES registry for Blake Wallace is (480) 844-8218.
- Does Blake Wallace accept Medicare?
- Blake Wallace is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Blake Wallace's NPI active?
- Yes — Blake Wallace's NPI (1083216949) is active in the NPPES registry as of the last update on 2024-07-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.