Nicholas Walla, MD

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

35.140803 Issued in OH

Practice address

2702 Navarre Ave Ste 102
Oregon, OH 43616-3224

Phone

(419) 442-0222

Fax

(419) 696-7015

NPI assigned

Apr 20, 2018

Last updated

Oct 13, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

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

Specialty

Orthopedic Surgery

Education

University of Toledo College of Medicine, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rehab-Bray LLCGroup PAC ID 8527256460, 84 clinicians

Beacon Orthopaedics and Sports Medicine LTDGroup PAC ID 0345136412, 471 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mount Carmel New Albany Surgical Hospital Hospital, New Albany, OH, CCN 360266

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: nicholas.walla.p1@direct.beaconortho.nextgenshare.com

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

• Beacon Orthopaedics & Sports Medicine, LTD

  dba OrthoAlliance of Ohio

  • Specialist
  • Cincinnati, OH
  • NPI 1386670065
  Medicare reassignment Care Compare group NPD
• Rehab-Bray LLC

  • Orthopedic Physical Therapist
  • Steubenville, OH
  • NPI 1194025452
  Care Compare group
• Beacon Orthopaedics & Sports Medicine LTD

  dba Ortho Foot and Ankle DBA OrthoAlliance of Ohio

  • Orthopaedic Foot and Ankle Surgery Physician
  • Worthington, OH
  • NPI 1699472878

  Orthopaedic Surgery

  NPD
• Lima Memorial Joint Operating Company

  dba Lima Memorial Health System

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1336144732
  NPD (past)

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

• Mount Carmel Health System

  • General Acute Care Hospital
  • New Albany, OH
  • NPI 1770668568
  Care Compare affiliation

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

{
    "created_epoch": "1524182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791849600000",
    "number": "1154818607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2702 NAVARRE AVE STE 102",
            "city": "OREGON",
            "state": "OH",
            "postal_code": "436163224",
            "telephone_number": "419-251-2019",
            "fax_number": "419-696-7015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2702 NAVARRE AVE STE 102",
            "city": "OREGON",
            "state": "OH",
            "postal_code": "436163224",
            "telephone_number": "419-442-0222",
            "fax_number": "419-696-7015"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7640 Sylvania Ave Ste B",
            "address_purpose": "LOCATION",
            "city": "Sylvania",
            "state": "OH",
            "postal_code": "435609263",
            "country_code": "US",
            "telephone_number": "419-517-8178",
            "fax_number": "419-517-8188",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALLA",
        "first_name": "NICHOLAS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-20",
        "last_updated": "2026-10-13",
        "certification_date": "2026-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "OH",
            "license": "35.140803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wal-Mart Stores East, LP (Vision Center 30-5029)
• Donald R Walendzak, PT
• Walgreen Co (Walgreens #05906)
• Amy Jo Walker, AGNP
• Paul Walker, MD
• Kori Wargacki
• Kyle Jonathan Weaver, OD
• Angela Jane Wells, CNM
• Denise Wells, R.PH
• Joy Wells, NP

• Orthopaedic Surgery Physician in Oregon, OH
• Providers in Oregon, OH by specialty
• Orthopaedic Surgery Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.