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

Nicholas Walle

Individual provider Diagnostic Radiology Physician · NPI 1770701872

Nicholas Walle is a Diagnostic Radiology in Providence, Rhode Island. Graduated from Georgetown University School of Medicine in 2006, 20 years ago. Practices with Straub Clinic and Hospital, a 423-clinician group and accepts Medicare assignment. Licensed in Rhode Island.

Years since qualifying
20
Trained at
Georgetown University School of Medicine
Licensed in
RI
In the registry since
2007

Practice location Address checks out

593 Eddy St
Providence, RI 02903-4923
Phone: (401) 444-8450
Fax: (401) 444-5088
Show map & directions

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

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence LP00865 (RI)

Record details

NPI number1770701872
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 23, 2007
Last updated in NPPESJuly 8, 2007
Mailing address593 Eddy St, Providence, RI 02903-4923

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolGEORGETOWN UNIVERSITY SCHOOL OF MEDICINE
Graduated 2006 (20 years in practice)
Group practice Straub Clinic And Hospital — 423 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Providence