Wallace Physician Services LLC
NPI 1144527870 · Internal Medicine Physician · Cincinnati, OH
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Wallace Physician Services LLC is a Internal Medicine Physician organization in Cincinnati, OH (NPI 1144527870).
Provider details
- NPI number
- 1144527870
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Waymon Wallace, President(513) 674-9601
- License
- 35-076674 (OH)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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.
Practice location
Mailing address
Additional practice locations (1)
- 11414 Odessa CtCincinnati, OH 45240-2847Phone: (859) 384-9045Fax: (859) 212-0949
Registry dates
- Enumerated
- 2011-02-15
- Last updated
- 2022-07-21
Frequently asked questions
- What is Wallace Physician Services LLC's NPI number?
- Wallace Physician Services LLC's National Provider Identifier (NPI) is 1144527870, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Wallace Physician Services LLC?
- Wallace Physician Services LLC is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Wallace Physician Services LLC located?
- Wallace Physician Services LLC's practice location on file with NPPES is 1577 Goodman Ave Ste a, Cincinnati, OH 45224-1044.
- What is Wallace Physician Services LLC's phone number?
- The practice phone number listed in the NPPES registry for Wallace Physician Services LLC is (513) 403-3762.
- Does Wallace Physician Services LLC accept Medicare?
- Wallace Physician Services LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Wallace Physician Services LLC?
- The authorized official listed on Wallace Physician Services LLC's NPPES record is Waymon Wallace, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Wallace Physician Services LLC's NPI active?
- Yes — Wallace Physician Services LLC's NPI (1144527870) is active in the NPPES registry as of the last update on 2022-07-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.