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

Dr. Benjamin John Wallisch, DO

Individual provider Anesthesiology Physician · NPI 1710968516

Dr. Benjamin John Wallisch, DO is an Anesthesiology in Houston, Texas. Qualified in 2001, 25 years ago. Practices with Community Medicine Associates, a 589-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Indiana and Texas.

Years since qualifying
25
Licensed in
IN, TX
In the registry since
2005
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

1515 Holcombe Blvd Ste 409 MD Anderson Dept OF Anesthesiology
Houston, TX 77030-4000
Phone: (713) 647-6547
Show map & directions

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

Additional practice locations (1)

  • 4502 Medical Dr Ste 250, San Antonio, TX 78229-4402 — (210) 358-4000

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence M7738 (TX)
Anesthesiology Physician Taxonomy 207L00000X · Licence 02002883A (IN)

Record details

NPI number1710968516
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedNovember 9, 2005
Last updated in NPPESMay 23, 2024
Certification dateMay 23, 2024

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Community Medicine Associates — 589 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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