Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Benjamin R Waller III, MD

Individual provider Pediatric Cardiology Physician · NPI 1013974062

Benjamin R Waller III, MD is a Pediatric Medicine in Memphis, Tennessee. Graduated from University of Tennessee, Hsc, College of Medicine in 1987, 39 years ago. Practices with UT Lebonheur Pediatric Specialists, Inc, a 172-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
39
Trained at
University of Tennessee, Hsc, College of Medicine
Licensed in
TN
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

51 N Dunlap St Fl 2
Memphis, TN 38105
Phone: (901) 287-7337
Fax: (901) 287-4646
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Interventional Cardiology Physician (primary) Taxonomy 207RI0011X · Licence 19846 (TN)
Pediatric Cardiology Physician Taxonomy 2080P0202X · Licence 19846 (TN)

Record details

NPI number1013974062
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 26, 2006
Last updated in NPPESJuly 13, 2018
Mailing address848 Adams Ave, Memphis, TN 38103-2816

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPEDIATRIC MEDICINE
Also practisesCARDIOVASCULAR DISEASE (CARDIOLOGY), INTERVENTIONAL CARDIOLOGY
Medical schoolUNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Graduated 1987 (39 years in practice)
Group practice Ut Lebonheur Pediatric Specialists, Inc. — 172 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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