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

Individual provider Internal Medicine Physician · NPI 1932104205

Dr. Mark Randall Wallace, MD is an Internal Medicine in Scottsdale, Arizona. Graduated from Indiana University School of Medicine in 1988, 38 years ago. Practices with Mayo Clinic Arizona, a 1,616-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Arizona.

Years since qualifying
38
Trained at
Indiana University School of Medicine
Licensed in
AZ
In the registry since
2005
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

13400 E Shea Blvd
Scottsdale, AZ 85259
Phone: (480) 301-8000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 19816 (AZ)

Record details

NPI number1932104205
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 14, 2005
Last updated in NPPESSeptember 3, 2020
Certification dateSeptember 3, 2020

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolINDIANA UNIVERSITY SCHOOL OF MEDICINE
Graduated 1988 (38 years in practice)
Group practice Mayo Clinic Arizona — 1616 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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