Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Carmel Wallace Jr., MD

Pediatrics Physician in Lexington, KY · enumerated 2005.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1063419000

Verified

See something wrong? Report a correction

Registry record

Entity type Individual (Type 1)

Name Carmel Wallace Jr.

Credential MD

Sex Male

Practice address 138 Leader Ave, Office 241, University of Kentucky, Department of Pediatrics, Lexington, KY, 40506

Phone (859) 323-1432

Fax (859) 323-3499

Enumeration date Jul 6, 2005

Last updated in NPPES Dec 18, 2015

Taxonomy & licenses

208000000X Pediatrics Physician Allopathic & Osteopathic Physicians · License 18479 (KY) Primary

MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier	Type	State	Issuer
64184799	Medicaid	KY	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is the NPI number for Carmel Wallace?

The National Provider Identifier (NPI) for Carmel Wallace is 1063419000, a Type 1 (individual) record in the CMS NPPES registry.

Where does Carmel Wallace practice?

The practice location on file with NPPES is in Lexington, KY. Providers can have multiple locations; NPPES lists the primary practice address.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2015-12-18.