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

Dr. Andrew Blake Wallace, MD

Individual provider Diagnostic Radiology Physician · NPI 1740626654

Dr. Andrew Blake Wallace, MD is a Diagnostic Radiology in Saint Louis, Missouri. Graduated from University of North Carolina at Chapel Hill School of Medicine in 2013, 13 years ago. Practices with Delaney Radiologists Group PLLC, a 54-clinician group and accepts Medicare assignment. Licensed in Missouri and North Carolina.

Years since qualifying
13
Trained at
University of North Carolina at Chapel Hill School of Medicine
Licensed in
MO, NC
In the registry since
2013
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

510 S Kingshighway Blvd Mallinckrodt Institue Of Radiology
Saint Louis, MO 63110-1016
Phone: (314) 362-2978
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 2020-04583 (NC)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 2014013932 (MO)

Record details

NPI number1740626654
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 18, 2013
Last updated in NPPESMay 5, 2021
Certification dateMay 5, 2021

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolUNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL SCHOOL OF MEDICINE
Graduated 2013 (13 years in practice)
Group practice Delaney Radiologists Group Pllc — 54 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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