Lisa Wallace, MD
NPI 1780119107 · Pediatrics Physician · Washington, DC
Enrolled with Medicare as Order and Referring Only - Pediatric Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Lisa Wallace, MD is a Pediatrics Physician provider in Washington, DC (NPI 1780119107).
Provider details
- NPI number
- 1780119107
- Entity type
- Individual
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- C1-0025869 (DE)
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
9 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
- 2017-04-24
- Last updated
- 2023-07-20
- Certified
- 2023-07-20
Frequently asked questions
- What is Lisa Wallace's NPI number?
- Lisa Wallace's National Provider Identifier (NPI) is 1780119107, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Lisa Wallace's specialty?
- Lisa Wallace is listed in the NPPES registry with a primary specialty of Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Lisa Wallace located?
- Lisa Wallace's practice location on file with NPPES is 111 Michigan Ave Nw, Washington, DC 20010-2916.
- What is Lisa Wallace's phone number?
- The practice phone number listed in the NPPES registry for Lisa Wallace is (202) 476-3670.
- Does Lisa Wallace accept Medicare?
- Lisa Wallace is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Lisa Wallace's NPI active?
- Yes — Lisa Wallace's NPI (1780119107) is active in the NPPES registry as of the last update on 2023-07-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.