MARY JEAN WALL MD NPI 1265405237

NPI Information

  • NPI: 1265405237
  • Provider Name: MARY JEAN WALL, MD
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1001 LAKESIDE AVE E STE 1200
    CLEVELAND, OH
    ZIP 44114
  • Phone: (216) 362-2000

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NPI Details

Mary Jean Wall, MD is a diagnostic radiology radiology in Cleveland, OH with 44 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Mary Jean Wall, MD NPI is 1265405237. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: HAHNEMANN MEDICAL COLLEGE AND HOSPITAL - KANSAS CITY - NLG
Graduation Year:1982

The provider's business location address is:

1001 LAKESIDE AVE E STE 1200
CLEVELAND, OH
ZIP 44114-172
Phone: (216) 362-2000

The NPI 1265405237 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Screening mammography (HCPCS:77067)
  • Screening 3d breast mammography (HCPCS:77063)
  • X-ray of chest, 1 view (HCPCS:71045)
  • Nuclear medicine study from skull base to mid-thigh with ct scan (HCPCS:78815)
  • Ct scan head or brain without contrast (HCPCS:70450)
  • Limited ultrasound scan of 1 breast (HCPCS:76642)
  • Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) (HCPCS:G0279)
  • Ct scan of chest without contrast (HCPCS:71250)
  • Dxa bone density measurement of hip, pelvis, spine (HCPCS:77080)
  • Diagnostic mammography of 1 breast (HCPCS:77065)
  • Low dose ct scan of chest for lung cancer screening (HCPCS:71271)
  • X-ray of abdomen, 1 view (HCPCS:74018)
  • Nuclear medicine study of bone and/or joint whole body (HCPCS:78306)
  • Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
  • Nuclear medicine studies of heart muscle at rest and with stress and spect (HCPCS:78452)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Ct scan of abdomen and pelvis without contrast (HCPCS:74176)
  • Ct scan of blood vessels of chest with contrast (HCPCS:71275)
  • Ct scan of upper spine without contrast (HCPCS:72125)
  • Imaging for evaluation of swallowing function (HCPCS:74230)
  • Diagnostic mammography of both breasts (HCPCS:77066)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • Ct scan of chest with contrast (HCPCS:71260)
  • Ultrasound study of one arm or leg veins with compression and maneuvers (HCPCS:93971)
  • X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • Mri scan of both breasts (HCPCS:77049)
  • X-ray of knee, 3 views (HCPCS:73562)
  • Ct scan of lower spine without contrast (HCPCS:72131)
  • Nuclear medicine study of bone taken at different times (HCPCS:78315)
  • Ultrasound of both sides of head and neck blood flow (HCPCS:93880)
  • Nuclear medicine study of lung ventilation and circulation (HCPCS:78582)
  • Nuclear medicine study of stomach to assess emptying (HCPCS:78264)
  • Screening mammography (HCPCS:77067)
  • X-ray of ankle, minimum of 3 views (HCPCS:73610)
  • Screening 3d breast mammography (HCPCS:77063)
  • Limited ultrasound scan of abdomen (HCPCS:76705)
  • X-ray of hand, minimum of 3 views (HCPCS:73130)
  • Nuclear medicine study of liver and bile duct system (HCPCS:78226)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • Nuclear medicine study whole body with ct scan (HCPCS:78816)
  • Nuclear medicine study of lung circulation (HCPCS:78580)
  • Ct scan of middle spine without contrast (HCPCS:72128)
  • X-ray of middle spine, 3 views (HCPCS:72072)
  • Biopsy of breast and placement of locating device using ultrasound, first growth (HCPCS:19083)
  • X-ray of upper spine, 2-3 views (HCPCS:72040)
  • Limited ultrasound scan of joint or other extremity structure lacking blood vessels (HCPCS:76882)
  • Complete ultrasound scan behind abdominal cavity (HCPCS:76770)
  • Ultrasound study of arm or leg veins with compression and maneuvers (HCPCS:93970)
  • Nuclear medicine study of liver and bile duct system with use of drugs (HCPCS:78227)
  • Ct scan of blood vessels of abdomen and pelvis with contrast (HCPCS:74174)
  • Ct scan of face without contrast (HCPCS:70486)
  • X-ray of wrist, minimum of 3 views (HCPCS:73110)
  • Limited ultrasound scan behind abdominal cavity (HCPCS:76775)

The enumeration date for this NPI number is 2/9/2006 and was last updated on 11/19/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0202XRadiologyDiagnostic Radiology35059303WOHIOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11018989380001MEDICAIDPENNSYLVANIA
2E59751MEDICARE UPIN
3117710W3RMEDICARE PINPENNSYLVANIA
41018989380003MEDICAIDPENNSYLVANIA
54030138MEDICARE PINOHIO
64205301MEDICARE PINWEST VIRGINIA
71018989380002MEDICAIDPENNSYLVANIA
83810008142MEDICAIDWEST VIRGINIA
9P00286495OTHEROHIORAILROAD MC
10000000339383OTHEROHIOANTHEM
110783022MEDICAIDOHIO
12WA0895638MEDICARE PINOHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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