Michael C. Wallis, M.D.
Urology Physician · Salt Lake City, UT
Michael C. Wallis, M.D. is a urology physician with a practice address in Salt Lake City, Utah, and NPI 1558384388, issued on Jul 25, 2006. Check the license (Utah 6078212-1205, as entered in NPPES) on the Utah Medical Licensing Board; the Medicare figures below come from public CMS files.
- Name
- Michael C. Wallis
- Credential
- M.D.
- Primary taxonomy
- Urology Physician 208800000X
- License numbers
- 6078212-1205 UT
M-13870 ID
Self-reported in NPPES; status is on the state search - Practice location
- 100 Mario Capecchi Dr, Salt Lake City, UT 84113
- Phone
- (801) 662-5555
- Enumerated
- Jul 25, 2006
- Record last updated
- Dec 16, 2021 (not updated in 5 years: call before relying on the address or phone)
- Medicare enrollment
- Enrolled (PECOS I20070105000192); accepts Medicare assignment
- Medical or professional school
- Ohio State University College Of Medicine, 1999
- Entity
- Type 1 · individual
8 nearest urology physician records → All 104 in Utah → Look up another NPI →
Also registered at 100 Mario Capecchi Dr
A shared address usually means a shared clinic or building; it does not show who employs whom.
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- Ryan Arnold, M.D.Pediatric Radiology Physician1730394131
- Fadi Asfour, M.D.Pediatric Pulmonology Physician1902053861
- Ronda Aurigemma, APRNNeonatal Nurse Practitioner1891716080
- Suzanne Bailey, M.DPediatrics Physician1942442355
Verify Michael C. Wallis in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersUtah Medical Licensing Board
Search for license 6078212-1205Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- University OF Utah Pediatric ServicesSalt Lake City, UT
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Michael C. Wallis among 104 urology physician records in Utah
Michael C. Wallis, M.D. is one of 104 urology physician records with a practice address in Utah. 82% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 9% of them.
- NPI issued2006 · 9% of these records are older, 63% newer
- In a Medicare fileYes · 82% of these records are
- In the CMS Doctors and Clinicians fileYes · 69% of these records are
- Graduated1999 · median 2006 among the 72 with a school on file
- Record last updated2021 · 46% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 208800000X and a Utah practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Urology Physician providers in Utah
There are 104 urology physician records in Utah.
All 104 in Utah → Every provider in Salt Lake City → Urology Physician nationwide →
The 8 urology physician records with the nearest ZIP codes
- Patrick Cartwright, MDSalt Lake City, UT 841131467542050
- Catherine Devries, MDSalt Lake City, UT 841131144310731
- Evan Crockett, MDSalt Lake City, UT 841121093448607
- Christopher Dechet, M.D.Salt Lake City, UT 841121538271861
- Kassandra Dindinger-Hill, MDSalt Lake City, UT 841121992555908
- Devon Langston, MDSalt Lake City, UT 841121396493912
- Morgan Marshall, MDSalt Lake City, UT 841121174230726
- Jordan Powell, MDSalt Lake City, UT 841121770230146
Common questions
What is Michael C. Wallis, M.D.'s NPI number?
Michael C. Wallis, M.D.'s National Provider Identifier (NPI) is 1558384388, issued on Jul 25, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Michael C. Wallis, M.D. located?
The NPPES record lists a practice address at 100 Mario Capecchi Dr, Salt Lake City, UT, 84113. Phone: (801) 662-5555. Providers update this record themselves, so call before visiting.
How can I verify Michael C. Wallis, M.D.'s license?
NPPES lists Utah license number 6078212-1205, as entered by the provider. Search the Utah Medical Licensing Board at https://secure.utah.gov/llv/search/index.html. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.