RICHARD JAMES JR. WALLACE (MD) – Infectious Disease Physician, NPI 1083698609

RICHARD JAMES JR. WALLACE (MD) is a healthcare provider. based in Dallas, Texas. specializing in Infectious Disease Physician. They hold the professional credentials MD. They hold a License No. D9705 (TX). The NPI Number for RICHARD JAMES JR. WALLACE (MD) is 1083698609

Main info

Male
54 Years Of Experience
Accepts Medicare Assignment
Name
RICHARD JAMES JR. WALLACE (MD)
NPI
1083698609
Phone
(903) 877-7777
Address
PO BOX 731912
Enumeration Date
6 December 2005
Last Update Date
21 October 2016

Doctor Profile

Medical School Name
BAYLOR COLLEGE OF MEDICINE
Secondary Phone
9038340201
Graduation Year
1972 (54 years ago)
PAC ID
0446390108
Group Practice PAC ID
4981699220
Professional Enrollment ID
I20091211000031
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

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Provider Addresses for RICHARD JAMES JR. WALLACE (MD)

  • Band Box Place, Dallas, Dallas County, Texas, 75244, United States

    DALLAS, TX 753731912

    Phone: (903) 877-7777

    Type: Mailing

  • University of Texas Health Science Center at Tyler, 11937, US Highway 271, Tyler, Smith County, Texas, 75708, United States

    TYLER, TX 757083154

    Phone: (903) 877-7777

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $100.

Total Amount is formed as General ($100) + Research ($0) + Ownership ($0) = $100.

Last reported payment date: 2024-04-17 • Largest payer in this snapshot: Teva Pharmaceuticals USA, Inc. ($61).

Total Amount

$100

General + Research + Ownership

Payments

6

Total payment records

General Amount

$100

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-17

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2009-12-11

PECOS data refreshed: 2026-05-27

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
I20091211000031IInfectious DiseaseTXTBD

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.

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

Insurance plans in this area (ZIP 75373)

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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: 4981699220View full group profile
NameSpecialtyState
P S Y C H I A T R YLA
-TX
Pediatric Medicine, Pulmonary DiseaseTX
Nurse PractitionerTX
-TX
Clinical PsychologistWA
Nurse PractitionerFL
P S Y C H I A T R YTX
-TX
E N D O C R I N O L O G YTX

Reviews

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Frequently asked questions

What federal number belongs to RICHARD JAMES JR. WALLACE (MD)?
The federal identifier for RICHARD JAMES JR. WALLACE (MD) is NPI 1083698609.
Is RICHARD JAMES JR. WALLACE (MD) active in the national directory?
RICHARD JAMES JR. WALLACE (MD)'s public NPI profile is in an active state.
What field does RICHARD JAMES JR. WALLACE (MD) work in?
You can think of RICHARD JAMES JR. WALLACE (MD) as practicing within Infectious Disease Physician. Clinical services aligned with this taxonomy classification.
What location shows for RICHARD JAMES JR. WALLACE (MD)?
We surface Dallas, Texas for RICHARD JAMES JR. WALLACE (MD) based on available NPPES addresses.
What if Dallas, Texas seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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