DR. MICHAEL H WALL (MD) – Anesthesiology Physician, NPI 1023073160

DR. MICHAEL H WALL (MD) is a healthcare provider. based in Minneapolis, Minnesota. specializing in ANESTHESIOLOGY, CRITICAL CARE (INTENSIVISTS). They hold the professional credentials MD. They hold a License No. 107167 (MN). The NPI Number for DR. MICHAEL H WALL (MD) is 1023073160

Main info

Male
39 Years Of Experience
Accepts Medicare Assignment
Name
DR. MICHAEL H WALL (MD)
NPI
1023073160
Phone
(612) 884-0649
Address
720 WASHINGTON AVE SE, SUITE 300
Enumeration Date
20 April 2006
Last Update Date
29 August 2013

Doctor Profile

Medical School Name
GEISEL SCHOOL OF MEDICINE AT DARTMOUTH
Secondary Phone
7633893344
Graduation Year
1987 (39 years ago)
PAC ID
9931004678
Group Practice PAC ID
1951213057
Professional Enrollment ID
I20130926000068
Address ID
MN553712172PR919XXDRXX300
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

969 ANESTHESIOLOGY in MN

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Provider Addresses for DR. MICHAEL H WALL (MD)

  • Washington Avenue Southeast, Prospect Park - East River Road, Minneapolis, Hennepin County, Minnesota, 55414, United States

    UNIVERSITY OF MINNESOTA PHYSICIANS

    MINNEAPOLIS, MN 55414

    Phone: (612) 884-0649

    Type: Mailing

  • University of Minnesota Medical Center East Bank Hospital, 500, Southeast Harvard Street, Minneapolis, Hennepin County, Minnesota, 55455, United States

    UNIVERSITY OF MINNESOTA MEDICAL CENTER

    MINNEAPOLIS, MN 55455

    Phone: (612) 273-3000

    Type: Location

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: 2013-09-26

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20130926000068IAnesthesiologyMNTBD

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

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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 55414)

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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: 1951213057View full group profile

Reviews

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Frequently asked questions

Can I use this page to confirm DR. MICHAEL H WALL (MD)'s NPI?
Yes. DR. MICHAEL H WALL (MD) is listed with NPI 1023073160 in the public NPI dataset.
Is DR. MICHAEL H WALL (MD) listed as active for patients and plans?
The listing shows DR. MICHAEL H WALL (MD) as active in the NPI system.
What is DR. MICHAEL H WALL (MD) best known for clinically?
Directory data describes DR. MICHAEL H WALL (MD) with Anesthesiology Physician. Clinical services aligned with this taxonomy classification.
What address line appears for DR. MICHAEL H WALL (MD)?
DR. MICHAEL H WALL (MD)'s geographic hint is Minneapolis, Minnesota in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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