Luther Walls, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036.167793 Issued in IL

Practice address

2744 W 63Rd St
Chicago, IL 60629-2343

Phone

(773) 434-4626

Fax

(833) 450-5178

NPI assigned

Apr 29, 2019

Last updated

Jun 17, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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, OH2 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

Specialty

Family Practice

Education

Loyola University of Chicago, Stritch School of Medicine, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Care AllianceGroup PAC ID 8527034818, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Care Alliance

  • Federally Qualified Health Center (FQHC)
  • Cleveland, OH
  • NPI 1396874426

  Corporate Officer

  CMS ownership
• Care Alliance

  • Federally Qualified Health Center (FQHC)
  • Cleveland, OH
  • NPI 1497922520

  Corporate Officer

  CMS ownership

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.

• Care Alliance

  • Federally Qualified Health Center (FQHC)
  • Cleveland, OH
  • NPI 1497922520
  Medicare reassignment Care Compare group NPD
• Inner-City Muslim Action Network

  • Federally Qualified Health Center (FQHC)
  • Chicago, IL
  • NPI 1003244567

  Family Medicine

  Medicare reassignment NPD
• Inner-City Muslim Action Network

  dba IMAN Mobile Health Unit

  • Federally Qualified Health Center (FQHC)
  • Chicago, IL
  • NPI 1073106621
  NPD
• Care Alliance

  dba Care Alliance Health Center

  • Federally Qualified Health Center (FQHC)
  • Cleveland, OH
  • NPI 1023406469
  NPD
• Care Alliance

  • Federally Qualified Health Center (FQHC)
  • Cleveland, OH
  • NPI 1396874426
  NPD

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

{
    "created_epoch": "1556496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718582400000",
    "number": "1851955462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2744 W 63RD ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606292343",
            "telephone_number": "773-434-4626",
            "fax_number": "833-450-5178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2744 W 63RD ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606292343",
            "telephone_number": "773-434-4626",
            "fax_number": "833-450-5178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLS",
        "first_name": "LUTHER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-04-29",
        "last_updated": "2024-06-17",
        "certification_date": "2024-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036.167793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia A Walls, LCSW, PC
• Frances A. Walls, PSY.D.
• Gary B Walls, PH.D.
• Jordan Walls
• Lanay Deniece Walls, LCSW
• Nikita Walls
• Trinity Walls, NP
• Noah Samuel Walman, M.D.
• Walmart Inc (Walmart Vision Center 30-5781)
• Walmart Inc. (Walmart Pharmacy 10-5781)

• Family Medicine Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.