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Daniel Jay Wallach, MD

Internal Medicine in Washington, DC. Individual provider (NPI-1).

NPI number1457741365
StatusActive
Last updated in NPPESJan 9, 2019

Details

NPI
1457741365
Entity type
Individual (NPI-1)
Name
Daniel Jay Wallach
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Jan 30, 2015
Last updated
Jan 9, 2019

Medicare and OIG

Medicare enrolled (PECOS)
Yes · PRACTITIONER - INTERNAL MEDICINE
Can order and refer
Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal MedicineMD046458DCYes

Practice location

110 Irving St Nw
Washington, DC 20010-3017

Phone 202-877-7000

Mailing address

110 Irving St Nw
Washington, DC 20010-3017

Phone 202-877-7000

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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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