Kara Wallace, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

23260 Issued in AL

Practice address

4650 Whitesburg Dr SW
Suite 204
Huntsville, AL 35802-1670

Phone

(256) 533-5211

Fax

(256) 533-5084

NPI assigned

Jul 25, 2007

Sex

Female

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 2

Medicare fee-for-service enrollment

Enrolled in AL

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

Family Practice

Education

University of Missouri, Kansas City, School of Medicine, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Kara M Wallace MD PCGroup PAC ID 6608953724, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Huntsville Hospital Hospital, Huntsville, AL, CCN 010039
• Crestwood Medical Center Hospital, Huntsville, AL, CCN 010131

Merit-based Incentive Payment System (MIPS)

Final score

95.45 of 100Reported as apm

Quality

90.9

Promoting interoperability

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kara.wallace.1@14805.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/14805/brand/1/csg/1/fhir/r4

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.

• Kara M Wallace MD PC

  • Family Medicine Physician
  • Huntsville, AL
  • NPI 1952377616
  Medicare reassignment Care Compare group NPD
• American Family Care, LLC

  • Primary Care Clinic/Center
  • Birmingham, AL
  • NPI 1669429080
  NPD (past)

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

• Crestwood Healthcare LP

  • General Acute Care Hospital
  • Huntsville, AL
  • NPI 1023061496
  Care Compare affiliation
• The Health Care Authority of the City of Huntsville

  • General Acute Care Hospital
  • Huntsville, AL
  • NPI 1447221056
  Care Compare affiliation

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

{
    "created_epoch": "1185321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458777600000",
    "number": "1487844643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4650 WHITESBURG DR SW",
            "address_2": "SUITE 204",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358021670",
            "telephone_number": "256-533-5211",
            "fax_number": "256-533-5084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4650 WHITESBURG DR SW",
            "address_2": "SUITE 204",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358021670",
            "telephone_number": "256-533-5211",
            "fax_number": "256-533-5084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLACE",
        "first_name": "KARA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-25",
        "last_updated": "2016-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "23260",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF ALABAMA PIN",
            "identifier": "51510722",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MC PTAN",
            "identifier": "510G700152",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Abigail Wallace, BCBA
• Alexandria Wallace
• Barbara Wallace, LICSW
• Cynthia S. Wallace
• Jelisa Wallace, CRNP
• Kimberly Wallace, RN
• Rebbie Arptisha Wallace
• Somyr Waller, CRNA
• Lauren M. Walley, NP
• Sean Patrick Wallis, DC

• Family Medicine Physician in Huntsville, AL
• Providers in Huntsville, AL by specialty
• Family Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2016; 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.