Diane Elizabeth Wallis, MD

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

01091007A Issued in IN

Practice address

13905 Grisham Dr
Carmel, IN 46033-0026

Phone

(630) 310-2118

NPI assigned

May 17, 2006

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

Medicare fee-for-service enrollment

Enrolled in IL

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhirprd.edward.org/fhirprd/api/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.

• Advocate Health and Hospitals Corporation

  • Multi-Specialty Clinic/Center
  • Oak Brook, IL
  • NPI 1700824455
  Medicare reassignment NPD
• Central Dupage Hospital Association

  • General Acute Care Hospital
  • Winfield, IL
  • NPI 1003864810
  Medicare reassignment NPD
• Edward Hospital

  • General Acute Care Hospital
  • Naperville, IL
  • NPI 1013969013
  Medicare reassignment NPD
• Advocate Health and Hospitals Corporation

  • Cardiovascular Disease Physician
  • Downers Grove, IL
  • NPI 1285903849
  NPD
• Advocate Health and Hospitals Corporation

  • Children's Hospital
  • Oak Lawn, IL
  • NPI 1508315516
  NPD
• Central Dupage Hospital Association

  • Psychiatric Hospital Unit
  • Winfield, IL
  • NPI 1740230895
  NPD
• Edward Hospital

  • Home Health Agency
  • Naperville, IL
  • NPI 1912930645

  Cardiovascular Disease

  NPD
• Edward Cardiovascular Institute

  • Cardiovascular Disease Physician
  • Naperville, IL
  • NPI 1649386400
  NPD (past)
• Edward Cardiovascular Institute

  • Cardiovascular Disease Physician
  • Yorkville, IL
  • NPI 1992806517
  NPD (past)
• Midwest Heart Specialists, LTD

  • Cardiovascular Disease Physician
  • Downers Grove, IL
  • NPI 1417908765
  NPD (past)

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770595200000",
    "number": "1659323574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13905 GRISHAM DR",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460330026",
            "telephone_number": "630-268-1102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13905 GRISHAM DR",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460330026",
            "telephone_number": "630-310-2118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLIS",
        "first_name": "DIANE",
        "middle_name": "ELIZABETH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-17",
        "last_updated": "2026-02-09",
        "certification_date": "2026-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IN",
            "license": "01091007A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Elaine Walker, LCSW
• William Thomas Walker, RPH
• Angela K Wall, M.A., CCC-SLP
• Karen S Wall, PHARMD
• Kimberly Wallace, LMFT
• Walnut Vision Care Indiana PC
• Jessica Walsh, PMHNP
• Debra Ellen Walter
• Evelyn Walter, LCSW
• Cherise Cynthia Walters

• Cardiovascular Disease Physician in Carmel, IN
• Providers in Carmel, IN by specialty
• Cardiovascular Disease Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2026; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.