Weldon Wallace, MD
NPI 1679550875 · Family Medicine Physician · Grand Rapids, MI
Enrolled with Medicare as Order and Referring Only - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Weldon Wallace, MD is a Family Medicine Physician provider in Grand Rapids, MI (NPI 1679550875).
Provider details
- NPI number
- 1679550875
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- License
- 4301085136 (MI)
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
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
- 2005-12-28
- Last updated
- 2007-07-08
Frequently asked questions
- What is Weldon Wallace's NPI number?
- Weldon Wallace's National Provider Identifier (NPI) is 1679550875, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Weldon Wallace's specialty?
- Weldon Wallace is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Weldon Wallace located?
- Weldon Wallace's practice location on file with NPPES is 1260 Ekhart St Ne, Grand Rapids, MI 49503-1372.
- What is Weldon Wallace's phone number?
- The practice phone number listed in the NPPES registry for Weldon Wallace is (616) 356-5202.
- Does Weldon Wallace accept Medicare?
- Weldon Wallace is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Weldon Wallace's NPI active?
- Yes — Weldon Wallace's NPI (1679550875) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.