CHRISTINA ENNABI WALLER (DO) – Emergency Medicine Physician, NPI 1558789834

CHRISTINA ENNABI WALLER (DO) is a healthcare provider. based in Houston, Texas. specializing in EMERGENCY MEDICINE. They hold the professional credentials DO. They hold a License No. R1367 (TX). The NPI Number for CHRISTINA ENNABI WALLER (DO) is 1558789834

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
CHRISTINA ENNABI WALLER (DO)
NPI
1558789834
Phone
(909) 618-3924
Address
777 PRESTON ST APT 34P
Enumeration Date
2 April 2014
Last Update Date
7 September 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8887779055
Graduation Year
2014 (12 years ago)
PAC ID
8527336106
Group Practice PAC ID
6103217831
Professional Enrollment ID
I20170623000238
Address ID
TX752013923DA325XXSTXX501
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness75
Years active:12State licenses:1Digital endpointsOther names

4,051 EMERGENCY MEDICINE in TX

Provider Addresses for CHRISTINA ENNABI WALLER (DO)

  • 777 PRESTON ST APT 34P

    HOUSTON, TX 770021781

    Phone: (909) 618-3924

    Type: Mailing

  • 4801 ALBERTA AVE

    EL PASO, TX 799052707

    Phone: (915) 545-7345

    Fax: (915) 545-7338

    Type: Location

  • 125 W 25TH ST FL 7

    NEW YORK, NY 100017247

    Phone:

    Type: Mailing

  • 19106 W JOSEY OVERLOOK DR

    CYPRESS, TX 774337026

    Phone: (909) 618-3924

    Type: Mailing

  • 12141 RICHMOND AVE

    HOUSTON, TX 770822408

    Phone: (281) 588-8110

    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: 2025-08-29

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
I20170623000238IEmergency MedicineTXTBD
I20210415001490IEmergency MedicineFLTBD
I20250326003705IEmergency MedicineCATBD
I20250829004169IEmergency MedicineMDTBD

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 77002)

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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: 6103217831View full group profile
NameSpecialtyState
Emergency MedicineTX
Emergency MedicinePA
Emergency MedicineCA
Emergency Medicine, Critical Care (Intensivists), Pulmonary DiseaseCA
Emergency MedicineNJ
Emergency MedicineDC
Emergency MedicineNY
Emergency MedicineCA
Emergency MedicineID
Emergency MedicineTX

Reviews

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Frequently asked questions

Where can patients find CHRISTINA ENNABI WALLER (DO)'s NPI?
You can confirm CHRISTINA ENNABI WALLER (DO) with NPI 1558789834; it appears in the national provider directory.
Is CHRISTINA ENNABI WALLER (DO) currently active in the NPI registry?
CMS-published data lists CHRISTINA ENNABI WALLER (DO) as an active registrant.
What kind of provider is CHRISTINA ENNABI WALLER (DO)?
The page reflects Emergency Medicine Physician for CHRISTINA ENNABI WALLER (DO). Clinical services aligned with this taxonomy classification.
Where is CHRISTINA ENNABI WALLER (DO)'s primary listing?
We display Houston, Texas because that is what the record indicates for CHRISTINA ENNABI WALLER (DO).
How can I contact CHRISTINA ENNABI WALLER (DO)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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