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

Jacob Wallace, MD

Individual provider Internal Medicine Physician · NPI 1871974527

Jacob Wallace, MD is a Diagnostic Radiology in Salina, Kansas. Graduated from University of Kansas School of Med (KC/WICH/SAL) in 2015, 11 years ago. Practices with United Radiology Billing LLC, an 8-clinician group and accepts Medicare assignment. Licensed in Kansas.

Years since qualifying
11
Trained at
University of Kansas School of Med (KC/WICH/SAL)
Licensed in
KS
In the registry since
2015
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

119 W Iron Ave Fl 5
Salina, KS 67401-2600
Phone: (785) 827-9526
Fax: (785) 827-2854
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 04-44613 (KS)
Internal Medicine Physician Taxonomy 207R00000X · Licence 94-08609 (KS)

Record details

NPI number1871974527
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 17, 2015
Last updated in NPPESMarch 10, 2025
Certification dateMarch 10, 2025
Mailing address119 W Iron Ave Fl 5, Salina, KS 67401-2600

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolUNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Graduated 2015 (11 years in practice)
Group practice United Radiology Billing Llc — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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