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

Dr. Giacomo Colver Waller, MD

Individual provider Surgery Physician · NPI 1801391438

Dr. Giacomo Colver Waller, MD is a General Surgery in NY, New York. Graduated from Emory University School of Medicine in 2018, 8 years ago. Practices with Icahn School of Medicine at Mount Sinai, a 324-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Georgia, Illinois and New York.

Years since qualifying
8
Trained at
Emory University School of Medicine
Licensed in
GA, IL, NY
In the registry since
2018
Specialties on file
4
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

19 E 98th St 7th Fl Ste A Box #1259
NY, NY 10029-6574
Phone: (212) 241-0949
Fax: (212) 534-2654
Show map & directions

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

Additional practice locations (2)

  • 1364 Clifton Rd Ne Ste H100, Atlanta, GA 30322-1059 — (404) 727-0093
  • 2160 S 1st Ave Ste 2840, Maywood, IL 60153-3328 — (708) 216-4533

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 322610 (NY)
Surgery Physician Taxonomy 208600000X · Licence 125.077143 (IL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence 125.077143 (IL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (GA)

Record details

NPI number1801391438
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 26, 2018
Last updated in NPPESJuly 23, 2023
Certification dateJuly 23, 2023

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolEMORY UNIVERSITY SCHOOL OF MEDICINE
Graduated 2018 (8 years in practice)
Group practice Icahn School Of Medicine At Mount Sinai — 324 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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