Michael Wallis, M.D.
NPI 1558384388 · Urology Physician · Salt Lake City, UT
Enrolled with Medicare as Practitioner - Urology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Michael Wallis, M.D. is a Urology Physician provider in Salt Lake City, UT (NPI 1558384388).
Provider details
- NPI number
- 1558384388
- Entity type
- Individual
- Primary specialty
- Urology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- M-13870 (ID)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
Registry dates
- Enumerated
- 2006-07-25
- Last updated
- 2021-12-16
- Certified
- 2021-12-16
Frequently asked questions
- What is Michael Wallis's NPI number?
- Michael Wallis's National Provider Identifier (NPI) is 1558384388, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Michael Wallis's specialty?
- Michael Wallis is listed in the NPPES registry with a primary specialty of Urology Physician (Allopathic & Osteopathic Physicians).
- Where is Michael Wallis located?
- Michael Wallis's practice location on file with NPPES is 100 Mario Capecchi Dr, Salt Lake City, UT 84113-1103.
- What is Michael Wallis's phone number?
- The practice phone number listed in the NPPES registry for Michael Wallis is (801) 662-5555.
- Does Michael Wallis accept Medicare?
- Michael Wallis is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Michael Wallis's NPI active?
- Yes — Michael Wallis's NPI (1558384388) is active in the NPPES registry as of the last update on 2021-12-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.