Doctor profile · Federal record
Dr. Blake Wallace, DPM
Foot & Ankle Surgery Podiatrist (CMS: Podiatry) · Phoenix, AZ
- NPI 1083216949
- Accepts Medicare
- 5 yrs in practice
- Male
- Solo practice
- No sanctions
Practice & contact
Operates at 3 locations .
- Primary practice
-
15601 N 28Th Ave Ste 102
Phoenix, AZ 850534061
(480) 844-8218 - Additional location
-
3100 Telegraph Ave
Oakland, CA 946093239
(800) 607-6377 - Additional location
-
8414 Naab RD Ste 215
Indianapolis, IN 462601972
(317) 338-7510 - Mailing address
-
Po Box 32611
Belfast, ME 049150219
Credentials & registration
- NPI registered
- November 2020 — 6 yrs on file
- Profile last updated
- July 29, 2024
- Year of graduation
- 2021 — 5 yrs since
- Specialty taxonomy
- 213ES0103X — NUCC code
- State license (1)
- Arizona #POD-001117
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1083216949. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$2,680
Transactions
44
Manufacturers
15
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Stryker Corporation | 17 | $1,140.14 | |
| Kerecis Limited | 3 | $374.83 | |
| Amgen INC. | 3 | $250.08 | |
| Integra LifeSciences Corporation | 6 | $202.22 | |
| Alafair Biosciences, INC. | 2 | $177.25 | |
| Averitas Pharma INC. | 2 | $133.77 | |
| Terumo Medical Corporation | 1 | $111.14 | |
| Medline Industries Lp | 1 | $76.79 | |
| DePuy Synthes Sales INC. | 1 | $74.50 | |
| Smith+Nephew, INC. | 1 | $25.18 | |
| Advanced Oxygen Therapy INC. | 3 | $21.60 | |
| Djo, LLC | 1 | $20.77 | |
| Crossroads Orthopedics, LLC | 1 | $20.39 | |
| Janssen Pharmaceuticals, INC | 1 | $19.92 | |
| Nevro Corp. | 1 | $16.95 |
By nature of payment
Hospital affiliations
Frequently asked questions
What is Dr. Blake Wallace's medical specialty?
Dr. Blake Wallace practices Foot & Ankle Surgery Podiatrist in Phoenix, AZ.
Where does Dr. Blake Wallace practice?
Dr. Blake Wallace practices at 15601 N 28Th Ave Ste 102, Phoenix, AZ 850534061. Office phone: 4808448218.
What is Dr. Blake Wallace's NPI?
Dr. Blake Wallace's National Provider Identifier (NPI) is 1083216949, issued by NPPES.
Does Dr. Blake Wallace accept Medicare assignment?
Yes. Dr. Blake Wallace accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.