Gregory N Wallingford, MD, MBA

Primary specialty

Hospice and Palliative Medicine (Emergency Medicine) PhysicianTaxonomy code 207PH0002X

License

S5290 Issued in TX

Practice address

1500 Red River St
Austin, TX 78701-1918

Phone

(512) 324-8933

NPI assigned

Apr 7, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Hospice/Palliative CareAlso: Emergency Medicine

Education

University of Texas Southwestern Medical School at Dallas, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Seton Family of DoctorsGroup PAC ID 0941333280, 785 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ascension Seton Medical Center Austin Hospital, Austin, TX, CCN 450056
• Dell Seton Med Center at the University of TX Hospital, Austin, TX, CCN 450124

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Business Administration, Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Seton Family of Doctors

  • Neurological Surgery Physician
  • Austin, TX
  • NPI 1588997233
  Medicare reassignment Care Compare group NPD
• Seton Family of Doctors

  dba Ascension Texas Imaging

  • Radiology Clinic/Center
  • Austin, TX
  • NPI 1275290694
  NPD

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

• Ascension Seton

  dba Dell Seton Medical Center at the University of Texas

  • General Acute Care Hospital
  • Austin, TX
  • NPI 1093810327
  Care Compare affiliation
• Ascension Seton

  dba Ascension Seton Medical Center Austin

  • General Acute Care Hospital
  • Austin, TX
  • NPI 1164526786
  Care Compare affiliation

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

{
    "created_epoch": "1396828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618876800000",
    "number": "1467870477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 TRINITY ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787121765",
            "telephone_number": "512-324-8933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 RED RIVER ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787011918",
            "telephone_number": "512-324-8933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLINGFORD",
        "first_name": "GREGORY",
        "middle_name": "N",
        "credential": "MD, MBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-07",
        "last_updated": "2021-04-20",
        "certification_date": "2021-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "MD460183",
            "primary": false
        },
        {
            "code": "207PH0002X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Hospice and Palliative Medicine",
            "state": "TX",
            "license": "S5290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Waller-de la Rosa, LPC
• Kendra Elaine Waller, M.S., C.G.C.
• Loise King Waller, PHD
• Jessica Heard Walling, APRN
• Lindsay Walling
• Ted W Wallis, MD
• Andrew Louis Walls, M.D.
• Sara Genevieve Walls, LPC-ASSOCIATE
• Walnut Hills Nursing and Rehabilitation, LTD.
• Brianna Walrafen-Rinaldi, FNP

• Emergency Medicine Physician in Austin, TX
• Providers in Austin, TX by specialty
• Emergency Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2021; 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.