Alec Nathaniel Wallace, DO
NPI 1487242087ActiveIndividual· General Practice· Travis Afb, CA
General Practice (DO) in Travis Afb, California, licensed in IN, with an NPI issued in January 2021. Enrolled in Medicare as order and referring only - family practice.
Overview
| NPI | 1487242087 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DO |
| Sole proprietor | Yes |
| NPI issued | Jan 8, 2021 |
| Last updated in NPPES | Jan 21, 2026 |
| Certified by provider | Jan 21, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | 02008162A | IN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Order and Referring Only - Family Practice (CA) |
|---|
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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