NPIMap

Individual provider Active NPI

Elizabeth Anne Wallace, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Midlothian, VA
National Provider Identifier
1851665541
Registry record updated Feb 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
0101251402 Issued in VA
Practice address
2384 Colony Crossing PL
Midlothian, VA 23112-4280
Phone
(804) 423-3636
NPI assigned
Feb 28, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 0101251402 VA Primary

Addresses

Primary practice location

2384 Colony Crossing PL
Midlothian, VA 23112-4280

Mailing address

309 Running Cedar LN
Henrico, VA 23229-7953
Phone (804) 282-1918

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120508000424 VA Practitioner - Endocrinology 2062674088 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Virginia Endocrinology and Osteoporosis CenterGroup PAC ID 1052377934, 15 clinicians

Practice addresses (Care Compare)

2384 Colony Crossing PL
Midlothian, VA 23112-4280
Phone (804) 423-3636

Hospital & facility affiliations

  • Bon Secours Richmond Community Hospital Hospital, Richmond, VA, CCN 490094
  • Bon Secours St Francis Medical Center Hospital, Midlothian, VA, CCN 490136
  • CJW Medical Center Hospital, Richmond, VA, CCN 490112
  • Bon Secours St Marys Hospital Hospital, Richmond, VA, CCN 490059

Merit-based Incentive Payment System (MIPS)

Final score
86.87 of 100Reported as group
Quality
81.19
Promoting interoperability
98
Improvement activities
40
Cost
76.7

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Virginia Endocrinology and Osteoporosis Center CurrentSince Jun 1, 2012 Accepting new patients

Locations

5201 Hickory Park Dr
Glen Allen, VA 23059

5207 Hickory Park Dr
Ste A
Glen Allen, VA 23059
Phone (804) 326-4448

2384 Colony Crossing Pl
Midlothian, VA 23112
Phone (804) 423-3636

13700 St Francis Blvd
Ste 505
Midlothian, VA 23114
Phone (804) 423-3636

3460 Mayland Ct
Ste 100
Richmond, VA 23233
Phone (804) 346-3077

Interoperability endpoints

  • Direct secure messaging: elizabeth.wallace@veoc.eclinicaldirectplus.com

Organizations & group practices 1

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.

Hospital & facility affiliations 19

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

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1330387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330387200000",
    "number": "1851665541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 RUNNING CEDAR LN",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232297953",
            "telephone_number": "804-282-1918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2384 COLONY CROSSING PL",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231124280",
            "telephone_number": "804-423-3636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLACE",
        "first_name": "ELIZABETH",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-28",
        "last_updated": "2012-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "VA",
            "license": "0101251402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midlothian, VA

Sources for this page

Verify at the official NPI Registry.