Individual Healthcare Provider
Adam N Wallace, MD
Provider's NPPES record last updated: April 22, 2026
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1801117585
- Primary Specialty
- Radiology — Neuroradiology
- Practice Location
- Rockford, Illinois
- Sole Proprietor
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 18, 2026, 1:10 AM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Radiology
Neuroradiology
Allopathic & Osteopathic Physicians
A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children.
Taxonomy code 2085N0700X Psychiatry & Neurology
Neurology
Allopathic & Osteopathic Physicians
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Taxonomy code 2084N0400XRadiology
Diagnostic Radiology
Allopathic & Osteopathic Physicians
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Taxonomy code 2085R0202X
Provider-Reported License Information
- Radiology (Illinois)
- 036.148822
- Psychiatry & Neurology (Illinois)
- 036.148822
- Radiology (New York)
- 319983
- Radiology (Wisconsin)
- 70505-20
- Radiology (Colorado)
- DR.0068906
- Radiology (Minnesota)
- 61898
- Radiology (Illinois)
- 036.148822
- Psychiatry & Neurology (Wisconsin)
- 70505-20
- Radiology (Wisconsin)
- 70505-20
- Radiology (Missouri)
- 2015013114
Practice Locations
Practice Location
8201 E Riverside Blvd
Rockford, Illinois 61114-2300
Phone: (815) 971-5000
Additional Practice Location
2301 N Lake Dr Ste 1104
Milwaukee, Wisconsin 53211-4508
Phone: (414) 215-9375
Fax: (414) 585-3229
Additional Practice Location
7505 Metro Blvd Ste 400
Edina, Minnesota 55439
Phone: (612) 573-2200
Fax: (612) 573-2274
Additional Practice Location
2845 Greenbrier Rd
Green Bay, Wisconsin 54311-6519
Phone: (920) 288-8044
Fax: (920) 288-8355
Record Information
- Enumeration Date
- June 17, 2010
- Provider's NPPES Record Last Updated
- April 22, 2026
- Certification Date
- April 22, 2026
- NPISignal NPPES Dataset
- August 2026
See Something Wrong?
Incorrect provider information
Everything on this page comes directly from the NPPES data CMS publishes. NPISignal cannot edit a provider's record — only the provider or organization can, directly through NPPES.
Update a record through NPPESSomething wrong with this page?
If NPISignal is displaying this data incorrectly — a formatting error, a broken link, a mismatch with the source file — let us know.
Report a display issue