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Ellis Waller, MD
NPI 1972726081 · Family Medicine Physician · Madison, WI
Ellis Waller, MD is a Family Medicine Physician provider in Madison, WI (NPI 1972726081).
Provider details
- NPI number
- 1972726081
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 52729 (WI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
345 West Washington Ave.
Suite 100
Madison, WI 53703-2701
Phone: (608) 417-8300
Fax: (608) 417-8301
Street-level locationGet directions
Mailing address
202 S Park St
Madison, WI 53715-1507
Registry dates
- Enumerated
- 2007-04-10
- Last updated
- 2012-04-27
Frequently asked questions
- What is Ellis Waller's NPI number?
- Ellis Waller's National Provider Identifier (NPI) is 1972726081, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ellis Waller's specialty?
- Ellis Waller is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Ellis Waller located?
- Ellis Waller's practice location on file with NPPES is 345 West Washington Ave., Madison, WI 53703-2701.
- What is Ellis Waller's phone number?
- The practice phone number listed in the NPPES registry for Ellis Waller is (608) 417-8300.
- Is Ellis Waller's NPI active?
- Yes — Ellis Waller's NPI (1972726081) is active in the NPPES registry as of the last update on 2012-04-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.