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

Jeffrey Wallace, MD

Individual provider Addiction Medicine (Internal Medicine) Physician · NPI 1215027990

Jeffrey Wallace, MD is a Geriatric Medicine in Aurora, Colorado. Graduated from University of Michigan Medical School in 1984, 42 years ago. Practices with San Luis Valley Community Mental Health Center, Inc, a 35-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Colorado.

Years since qualifying
42
Trained at
University of Michigan Medical School
Licensed in
CO
In the registry since
2006
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

12605 E 16th Ave
Aurora, CO 80045-2545
Phone: (720) 848-0000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Geriatric Medicine (Internal Medicine) Physician (primary) Taxonomy 207RG0300X · Licence 27855 (CO)
Addiction Medicine (Internal Medicine) Physician Taxonomy 207RA0401X · Licence 0027855 (CO)

Record details

NPI number1215027990
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 13, 2006
Last updated in NPPESMay 8, 2025
Certification dateMay 8, 2025
Mailing addressPo Box 876, Aurora, CO 80040-0876

Medicare enrollment

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

Medicare specialtyGERIATRIC MEDICINE
Medical schoolUNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Graduated 1984 (42 years in practice)
Group practice San Luis Valley Community Mental Health Center, Inc. — 35 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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