DR. PETER MICHAEL WALLACH (M.D.) – Dermatology Physician, NPI 1710987391

Dermatology Physician

DR. PETER MICHAEL WALLACH (M.D.) is a healthcare provider. based in Coral springs, Florida. specializing in Dermatology Physician. They hold the professional credentials M.D.. They hold a License No. ME0029164 (FL). The NPI Number for DR. PETER MICHAEL WALLACH (M.D.) is 1710987391

Main info

Male

53 Years Of Experience

Accepts Medicare Assignment

Name

DR. PETER MICHAEL WALLACH (M.D.)

NPI

1710987391

Phone

(954) 753-1030

Address

1480 N UNIVERSITY DR

Enumeration Date

26 July 2005

Deactivation Date

21 March 2006

Reactivation Date

30 March 2006

Last Update Date

15 July 2010

Doctor Profile

Medical School Name

STATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER

Secondary Phone

9549754010

Graduation Year

1973 (53 years ago)

PAC ID

6901790757

Group Practice PAC ID

1759284847

Professional Enrollment ID

I20101119001168

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience54

Completeness75

Years active:20State licenses:1Digital endpointsOther names

Loading map...

Provider Addresses for DR. PETER MICHAEL WALLACH (M.D.)

1480, North University Drive, Coral Springs, Broward County, Florida, 33071, United States
CORAL SPRINGS, FL 330716040
Phone: (954) 753-1030
Fax: (954) 753-1115
Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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.

No Medicare enrollment or revalidation data available for this provider in our database.

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33071)

Loading plans...

Provider's Procedures

DR. PETER MICHAEL WALLACH (M.D.) performs procedures in Dermatology Physician. See the list of HCPCS codes below.

Specialty	Practice State	HCPCS Code	Description	Service Count	Beneficiary Count
DERMATOLOGY	FL	17003	Destruction of 2-14 skin growths	1066	209

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: 1759284847View full group profile

Name	Specialty	State
DR. JANET CAROL TELTSCHER (MD)	D E R M A T O L O G Y	FL
BRIAN JEFFREY KATZ (MD)	D E R M A T O L O G Y	FL
DANIEL LEBOVITS (RPA)	Physician Assistant	NY
COLETTE CAPUTO (PA C)	-	FL
ROBB ELLIOTT WILENTZ (MD)	P A T H O L O G Y	FL
DR. DAVID M SHARAF (MD)	-	FL
STUART A SOBEL (MD)	-	FL
MISS REBECCA MANDEL (PA)	Physician Assistant	FL
DR. GREGG ORIN WILENTZ (DO)	D E R M A T O L O G Y	FL
DAVID JAY HECKER (MD)	D E R M A T O L O G Y	FL

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Can I verify DR. PETER MICHAEL WALLACH (M.D.) with an NPI only?

You can start verification with NPI 1710987391 for DR. PETER MICHAEL WALLACH (M.D.), then check state licensing separately.

Can I rely on DR. PETER MICHAEL WALLACH (M.D.) being an active provider?

As of the registry snapshot, DR. PETER MICHAEL WALLACH (M.D.) is marked active.

What is DR. PETER MICHAEL WALLACH (M.D.) best known for clinically?

Directory data describes DR. PETER MICHAEL WALLACH (M.D.) with Dermatology Physician. Clinical services aligned with this taxonomy classification.

Does DR. PETER MICHAEL WALLACH (M.D.) list a practice location?

Patients near Coral Springs, Florida may find DR. PETER MICHAEL WALLACH (M.D.) in results; validate coverage separately.

Is specialty guaranteed by NPI alone?

Taxonomy selections describe intent; scope of practice still follows state law.