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

Dr. Richard A Wall, MD

Individual provider Family Medicine Physician · NPI 1811971393

Dr. Richard A Wall, MD is a Family Practice in Phoenix, Arizona. Qualified in 1976, 50 years ago. Practices with Active Vital Care LLC, a 19-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Arizona.

Years since qualifying
50
Licensed in
AZ
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

19841 N 27th Ave Ste 101
Phoenix, AZ 85027-4003
Phone: (602) 942-8512
Fax: (602) 942-1075
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 10250 (AZ)

Record details

NPI number1811971393
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 30, 2005
Last updated in NPPESSeptember 27, 2013

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 1976 (50 years in practice)
Group practice Active Vital Care Llc — 19 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Phoenix