Individual provider Active NPI

Limor Philipp Wall, M.D.

  • Vascular Surgery Physician
  • Surprise, AZ
National Provider Identifier
1619959970
Registry record updated Oct 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
34753 Issued in AZ
Practice address
15571 North Reems Road
Surprise, AZ 85374
Phone
(623) 544-6932
Fax
(623) 321-1070
NPI assigned
Nov 14, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X 34753 AZ Primary

Addresses

Primary practice location

15571 North Reems Road
Surprise, AZ 85374

Mailing address

15571 North Reems Road
Surprise, AZ 85374
Phone (623) 544-6932

Other practice location 1

14520 W Granite Valley Dr Ste 210
Sun City West, AZ 85375-5855
Phone (866) 974-2673

Other practice location 2

18444 N 25th Ave Ste 210
Phoenix, AZ 85023-1264
Phone (866) 974-2673

Other practice location 3

3591 S Mercy Rd Ste 101
Gilbert, AZ 85297-1192
Phone (866) 974-2673

Other practice location 4

10494 W Thunderbird Blvd Ste 108
Sun City, AZ 85351-6122
Phone (866) 974-2673

Other identifiers 1

IdentifierTypeStateIssuer
988743MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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

Enrollment IDStateProvider typePAC IDDetails
I20051206000474 AZ Practitioner - Vascular Surgery 3870584642 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
State University of New York Downstate Medical Center, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Center for Orthopedic Research and Education LLCGroup PAC ID 0345287322, 247 clinicians

Practice addresses (Care Compare)

18444 N 25TH Ave
Suite 210
Phoenix, AZ 85023-1264
Phone (866) 974-2673

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Orthopedic Research and Education, LLC CurrentSince Dec 1, 2025 Accepting new patients
Center for Orthopedic Research and Education LLC CurrentSince Dec 1, 2025 Accepting new patients
Lpwallmd PC Vascular Surgery CurrentSince Nov 19, 2024 Accepting new patients
Advanced Cardiac Specialists, Chartered Past Accepting new patients
Vascular Surgeons of Central New York, PLLC PastSince May 10, 2020 Accepting new patients

Locations

3597 S Mercy Rd Ste 101
Ste 101
Gilbert, AZ 85297

3591 S Mercy Rd
Ste 101
Gilbert, AZ 85297

18444 N 25th Ave
Ste 210
Phoenix, AZ 85023
Phone (669) 742-6738

8560 E Shea Blvd
Ste 140
Scottsdale, AZ 85260
Phone (623) 544-6932

10494 W Thunderbird Blvd
Ste 108
Sun City, AZ 85351
Phone (623) 474-3672

10494 W Thunderbird Blvd
Ste 102
Sun City, AZ 85351
Phone (623) 975-8311

Interoperability endpoints

  • Direct secure messaging: limor.wall.1@22724.direct.athenahealth.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1131926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759363200000",
    "number": "1619959970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15571 NORTH REEMS ROAD",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "85374",
            "telephone_number": "623-544-6932",
            "fax_number": "623-321-1070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15571 NORTH REEMS ROAD",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "85374",
            "telephone_number": "623-544-6932",
            "fax_number": "623-321-1070"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14520 W Granite Valley Dr Ste 210",
            "address_purpose": "LOCATION",
            "city": "Sun City West",
            "state": "AZ",
            "postal_code": "853755855",
            "country_code": "US",
            "telephone_number": "866-974-2673",
            "fax_number": "866-939-2673",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18444 N 25th Ave Ste 210",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850231264",
            "country_code": "US",
            "telephone_number": "866-974-2673",
            "fax_number": "866-939-2673",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3591 S Mercy Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Gilbert",
            "state": "AZ",
            "postal_code": "852971192",
            "country_code": "US",
            "telephone_number": "866-974-2673",
            "fax_number": "866-939-2673",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10494 W Thunderbird Blvd Ste 108",
            "address_purpose": "LOCATION",
            "city": "Sun City",
            "state": "AZ",
            "postal_code": "853516122",
            "country_code": "US",
            "telephone_number": "866-974-2673",
            "fax_number": "866-939-2673",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALL",
        "first_name": "LIMOR",
        "middle_name": "PHILIPP",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-14",
        "last_updated": "2025-10-02",
        "certification_date": "2025-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "AZ",
            "license": "34753",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "988743",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Surprise, AZ

Sources for this page

Verify at the official NPI Registry.