Individual provider Active NPI

Eva Wall, MD

  • Surgery Physician
  • Rochester, NY
National Provider Identifier
1053417113
Registry record updated Feb 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
221037 Issued in NY
Practice address
1415 Portland Ave Ste 245
Rochester, NY 14621-3022
Phone
(585) 922-4518
Fax
(585) 922-3950
NPI assigned
Sep 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 221037 NY Primary

Addresses

Primary practice location

1415 Portland Ave Ste 245
Rochester, NY 14621-3022

Mailing address

1415 Portland Ave Ste 245
Rochester, NY 14621-3022
Phone (585) 922-4518

Other practice location 1

200 North Street
Suite 304
Geneva, NY 14456
Phone (315) 787-5383

Other practice location 2

200 North St Ste 203
Geneva, NY 14456-1561
Phone (315) 787-5883

Other names 1

  • Eva Slepecki Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ewall227240@direct.rochesterregional.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101021000979 NY Practitioner - General SurgeryPractitioner - Critical Care (Intensivists) 4880687177 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Critical Care (Intensivists)
Education
George Washington University School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
United Health Services Hospitals, Inc.Group PAC ID 5193610533, 471 clinicians
Acute Care Surgery Medical Group IncGroup PAC ID 7214006816, 205 clinicians

Practice addresses (Care Compare)

30 Harrison St
Suite 455
Johnson City, NY 13790-2176
Phone (607) 763-8100

70 Dubois St
Newburgh, NY 12550-4851
Phone (845) 561-4400

Hospital & facility affiliations

  • United Health Services Hospitals, Inc Hospital, Binghamton, NY, CCN 330394
  • Montefiore St Luke'S Cornwall Hospital, Newburgh, NY, CCN 330264

Merit-based Incentive Payment System (MIPS)

Final score
96.62 of 100Reported as apm
Quality
74.51
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Rochester General Hospital Current Accepting new patients
Rochester General Hospital Surgery CurrentSince Jan 2, 2018 Accepting new patients
United Medical Associates PC CurrentSince Jun 23, 2025 Accepting new patients
New York Surgicalist Services, P.C. Surgery CurrentSince May 1, 2022 Accepting new patients
Western New York Medical Practice, PC CurrentSince Jan 2, 2018 Accepting new patients
United Medical Associates, P.C. CurrentSince Jun 23, 2025 Accepting new patients
United Health Services Hospitals, Inc. CurrentSince Jun 23, 2025 Accepting new patients
Western New York Medical Practice P.C. Surgery CurrentSince Jan 2, 2018 Accepting new patients
Rochester General Hospital CurrentSince Jan 2, 2018 Accepting new patients
Acute Care Surgery Medical Group, Inc. Surgery CurrentSince May 1, 2022 Accepting new patients
United Health Services Hospitals, Inc. Past Accepting new patients

Locations

33 Lewis Rd
Fl 2
Binghamton, NY 13905
Phone (607) 729-8156

200 North St
Ste 304
Geneva, NY 14456
Phone (315) 607-8915

200 North St
Ste 203
Geneva, NY 14456
Phone (315) 787-5383

196 North St
Geneva, NY 14456
Phone (315) 787-4156

30 Harrison St
Ste 455
Johnson City, NY 13790
Phone (607) 763-8100

33-57 Harrison St
Johnson City, NY 13790
Phone (607) 763-6412

407 Gidney Ave
Ste B
Newburgh, NY 12550
Phone (845) 458-4700

460 Gidney Ave
Newburgh, NY 12550
Phone (845) 458-4700

70 Dubois St
Newburgh, NY 12550
Phone (845) 534-4673

1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122

1415 Portland Ave
Ste 245
Rochester, NY 14621
Phone (585) 922-4715

1445 Portland Ave
Ste 301
Rochester, NY 14621
Phone (585) 922-4874

Interoperability endpoints

  • FHIR API: https://epicproxy.et1127.epichosted.com/FHIRproxy/api/FHIR/R4/
  • Direct secure messaging: ewall227240@direct.rochesterregional.org

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675814400000",
    "number": "1053417113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 PORTLAND AVE STE 245",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146213022",
            "telephone_number": "585-922-4518",
            "fax_number": "585-922-3950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 PORTLAND AVE STE 245",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146213022",
            "telephone_number": "585-922-4518",
            "fax_number": "585-922-3950"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 North Street",
            "address_2": "Suite 304",
            "address_purpose": "LOCATION",
            "city": "Geneva",
            "state": "NY",
            "postal_code": "14456",
            "country_code": "US",
            "telephone_number": "315-787-5383",
            "fax_number": "315-787-5381",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 North St Ste 203",
            "address_purpose": "LOCATION",
            "city": "Geneva",
            "state": "NY",
            "postal_code": "144561561",
            "country_code": "US",
            "telephone_number": "315-787-5883",
            "fax_number": "315-787-5381",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALL",
        "first_name": "EVA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-16",
        "last_updated": "2023-02-08",
        "certification_date": "2023-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "221037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ewall227240@direct.rochesterregional.org",
            "affiliation": "N",
            "address_1": "1415 Portland Ave Ste 245",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "146213022",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "EVA",
            "last_name": "SLEPECKI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.