DR. DAVID JOHN WALLACE (MD, MPH) – Critical Care Medicine (Internal Medicine) Physician, NPI 1770780835

DR. DAVID JOHN WALLACE (MD, MPH) is a healthcare provider. based in Oakland, California. specializing in CRITICAL CARE (INTENSIVISTS), INTERNAL MEDICINE. They hold the professional credentials MD, MPH. They hold a License No. MD441174 (PA). The NPI Number for DR. DAVID JOHN WALLACE (MD, MPH) is 1770780835

Main info

Male
22 Years Of Experience
Accepts Medicare Assignment
Name
DR. DAVID JOHN WALLACE (MD, MPH)
NPI
1770780835
Phone
Not provided
Address
3215 BURDECK DR
Enumeration Date
29 June 2007
Last Update Date
30 August 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5105371234
Graduation Year
2004 (22 years ago)
PAC ID
5799957916
Group Practice PAC ID
3476864448
Professional Enrollment ID
I20201020001890
Address ID
CA945465305CA20103RDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience87
Completeness85
Years active:18State licenses:4Digital endpointsOther names

2,125 CRITICAL CARE (INTENSIVISTS) in CA

Provider Addresses for DR. DAVID JOHN WALLACE (MD, MPH)

  • 3215 BURDECK DR

    OAKLAND, CA 946022623

    Phone:

    Type: Mailing

  • 20103 LAKE CHABOT RD

    CASTRO VALLEY, CA 945465305

    Phone: (510) 537-1234

    Type: Location

  • UPMC Presbyterian Hospital, 200, Lothrop Street, West Oakland, Pittsburgh, Allegheny County, Pennsylvania, 15213, United States

    PITTSBURGH, PA 152132536

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2020-12-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 4 Medicare enrollment records; no due dates published yet.

Enrollment records

4

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20111012000744ICritical Care (Intensivists)PATBD
I20200724000852ICritical Care (Intensivists)TXTBD
I20201020001890ICritical Care (Intensivists)CATBD
I20201216001619ICritical Care (Intensivists)SCTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99291Critical care, first 30-74 minutes385167$0
99292Critical care, each additional 30 minutes7441$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes3232$0
36556Insertion of non-tunneled central venous tube for infusion (5 years or older)2726$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes2423$0
View full utilization report →

Insurance plans in this area (ZIP 94602)

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Provider's Procedures

DR. DAVID JOHN WALLACE (MD, MPH) performs procedures in CRITICAL CARE (INTENSIVISTS). See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CRITICAL CARE (INTENSIVISTS)NY31500Emergent insertion of breathing tube into windpipe cartilage using an endoscope1313

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3476864448View full group profile
NameSpecialtyState
Internal Medicine, Critical Care (Intensivists)FL
Internal Medicine, Critical Care (Intensivists)CA
Internal Medicine, Pediatric MedicineCA
-CA
-CA
Critical Care (Intensivists), Pulmonary DiseaseCA
-CA
Internal Medicine, Pulmonary Disease, Critical Care (Intensivists)CA
-CA
-CA

Reviews

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Frequently asked questions

How is DR. DAVID JOHN WALLACE (MD, MPH) identified in CMS data?
CMS-hosted NPPES data lists DR. DAVID JOHN WALLACE (MD, MPH) with NPI 1770780835.
Does CMS list DR. DAVID JOHN WALLACE (MD, MPH) as active?
Yes — DR. DAVID JOHN WALLACE (MD, MPH) is active in the NPI listing used on this page.
What healthcare role does DR. DAVID JOHN WALLACE (MD, MPH) hold?
Scheduling teams often label DR. DAVID JOHN WALLACE (MD, MPH) under Critical Care Medicine (Internal Medicine) Physician. Clinical services aligned with this taxonomy classification.
Where should I expect DR. DAVID JOHN WALLACE (MD, MPH) on a map?
Expect Oakland, California as a primary anchor for DR. DAVID JOHN WALLACE (MD, MPH) unless the record lists multiple sites.
Why does DR. DAVID JOHN WALLACE (MD, MPH) have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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