Donald Cedric Wallerson, MD

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

144699 Issued in NY

Practice address

2310 Eastchester Rd
Bronx, NY 10469-5911

Phone

(718) 519-6340

Fax

(718) 519-7898

NPI assigned

Jul 2, 2006

Last updated

Jul 12, 2012By 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

Other identifiers 1

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

Specialty

Cardiovascular Disease (Cardiology)

Education

Other, 1979

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Five Crest Medical Diagnostic P.C.Group PAC ID 5799052403, 2 clinicians

Arthur L Autz MD PCGroup PAC ID 6406747823, 5 clinicians

Hamid Lalani Medical PLLCGroup PAC ID 3971999400, 5 clinicians

Benson Medical Imaging PLLCGroup PAC ID 6608965447, 2 clinicians

Ik Medical PCGroup PAC ID 2264825744, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Montefiore Med Ctr Home Care Chha Home health agency, Bronx, NY, CCN 337009

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dwallerson@mipa.bronxrhiodirect.org

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.

• Arthur L Autz MD PC

  dba Care One Medical

  • Internal Medicine Physician
  • Westbury, NY
  • NPI 1326133471
  Medicare reassignment Care Compare group NPD
• Hamid Lalani Medical PLLC

  • Multi-Specialty Clinic/Center
  • Brooklyn, NY
  • NPI 1093475220
  Medicare reassignment Care Compare group NPD
• Ik Medical PC

  • Internal Medicine Physician
  • Brooklyn, NY
  • NPI 1437813433
  Medicare reassignment Care Compare group NPD
• Benson Medical Imaging PLLC

  • Diagnostic Radiology Physician
  • Brooklyn, NY
  • NPI 1538348057
  Medicare reassignment Care Compare group
• Five Crest Medical Diagnostic P.C.

  • Specialist
  • Brooklyn, NY
  • NPI 1104378058
  Medicare reassignment Care Compare group
• Care One Nyc Medical PC

  • Family Medicine Physician
  • Bronx, NY
  • NPI 1316528441
  Medicare reassignment NPD
• Integrated Diagnostic Imaging & Cardiology of Staten Island P.C.

  • Diagnostic Radiology Physician
  • Staten Island, NY
  • NPI 1174537948

  Cardiovascular Disease

  Medicare reassignment NPD
• Intermed Care PC

  • Legal Medicine
  • Brooklyn, NY
  • NPI 1144235516
  Medicare reassignment NPD
• New York Queens Medicine and Surgery, P.C.

  dba Newyork-Presbyterian Medical Group/Queens

  • Pediatrics Physician
  • Fresh Meadows, NY
  • NPI 1003114851
  Medicare reassignment NPD
• Onsite Medical Suite PC

  • Specialist
  • Rego Park, NY
  • NPI 1497131403
  Medicare reassignment NPD
• Pamir Mobile Diagnostic Services Inc.

  • Mobile Radiology Clinic/Center
  • Flushing, NY
  • NPI 1386174779
  Medicare reassignment NPD
• Sure Medical PC

  • Internal Medicine Physician
  • Elmhurst, NY
  • NPI 1033415294
  Medicare reassignment NPD

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

• Montefiore Medical Center

  • Home Health Agency
  • Bronx, NY
  • NPI 1265591168
  Care Compare affiliation
• Montefiore Medical Center

  • Home Health Agency
  • Bronx, NY
  • NPI 1457406621
  Care Compare affiliation

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

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342051200000",
    "number": "1407885387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73 ALONA DR",
            "city": "MAHOPAC",
            "state": "NY",
            "postal_code": "105411042",
            "telephone_number": "718-519-6340",
            "fax_number": "718-519-7898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2310 EASTCHESTER RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104695911",
            "telephone_number": "718-519-6340",
            "fax_number": "718-519-7898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLERSON",
        "first_name": "DONALD",
        "middle_name": "CEDRIC",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-02",
        "last_updated": "2012-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "144699",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01042442",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Simmone Wallace
• Tiara Wallace
• Diane Wallach, MSW, LMSW
• Alessia Valentini Waller, MBBCH
• Carlene Waller, RN
• Belinda Walley-Shalders, RN
• Welley Wallo, RT/MT
• Winsome Erica Wallock
• Esmond Walrond
• Amy Walroth

• Cardiovascular Disease Physician in Bronx, NY
• Providers in Bronx, NY by specialty
• Cardiovascular Disease Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2012; 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.