Individual provider Active NPI

Robert Landon Wallace, DO

  • Family Medicine Physician
  • Asheville, NC
National Provider Identifier
1538796131
Registry record updated Jun 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD500001747 Issued in DC
Practice address
123 Hendersonville Rd
Asheville, NC 28803-2868
Phone
(828) 257-4730
Fax
(828) 257-4738
NPI assigned
Mar 24, 2020
Last updated
Jun 20, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD500001747 DC Primary

Addresses

Primary practice location

123 Hendersonville Rd
Asheville, NC 28803-2868

Mailing address

315 H St NE Ste a
Washington, DC 20002-7180
Phone (202) 975-0100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20231010000150 DC Practitioner - Family Practice 8022431568 Reassigns benefits to 4 organizations
I20260415003815 MD Practitioner - Internal Medicine 8022431568 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Privia Care Center LLCGroup PAC ID 3274801139, 286 clinicians
Capital Healthcare PCGroup PAC ID 3779723309, 102 clinicians

Practice addresses (Care Compare)

4910 Massachusetts Ave NW
Suite 114 Grady DC Office
Washington, DC 20016-4384
Phone (202) 686-0813

6020 Richmond Hwy
Suite 102
Alexandria, VA 22303-2157
Phone (571) 308-6776

Merit-based Incentive Payment System (MIPS)

Final score
95.13 of 100Reported as apm
Quality
90.26
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Capital Healthcare PC CurrentSince Sep 1, 2023 Accepting new patients
Comprehensive Primary Care and Associates LLC Family Medicine CurrentSince Nov 1, 2025 Accepting new patients

Locations

1640 Rhode Island Ave NW
Ste 800
Washington, DC 20036
Phone (202) 822-6311

1710 Rhode Island Ave NW
Washington, DC 20036
Phone (202) 787-1979

315 H St NE
Ste A
Washington, DC 20002
Phone (202) 975-0100

3500 Wisconsin Ave NW
Washington, DC 20016
Phone (202) 975-0070

4340 Connecticut Ave NW
Ste C
Washington, DC 20008
Phone (443) 393-3657

15245 Shady Grove Rd
Ste 150
Rockville, MD 20850
Phone (667) 303-1042

15245 Shady Grove Rd
Ste 340
Rockville, MD 20850

15825 Shady Grove Rd
Ste 140
Rockville, MD 20850
Phone (301) 519-2118

6020 Richmond Hwy
Ste 102
Alexandria, VA 22303
Phone (267) 978-1993

Interoperability endpoints

  • Direct secure messaging: robert.wallace.1@15482.direct.athenahealth.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1585008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750377600000",
    "number": "1538796131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 H ST NE STE A",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200027180",
            "telephone_number": "202-975-0100",
            "fax_number": "202-975-0102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 HENDERSONVILLE RD",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288032868",
            "telephone_number": "828-257-4730",
            "fax_number": "828-257-4738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLACE",
        "first_name": "ROBERT",
        "middle_name": "LANDON",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-24",
        "last_updated": "2025-06-20",
        "certification_date": "2025-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "DC",
            "license": "MD500001747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheville, NC

Sources for this page

Verify at the official NPI Registry.