DR. SHAIN S WALLIS DO NPI 1356653729

NPI Information

  • NPI: 1356653729
  • Provider Name: DR. SHAIN S WALLIS, DO
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 5100 WEST TAFT RD
    STE 2A
    LIVERPOOL, NY
    ZIP 13088
  • Phone: (315) 452-2666

Map and Directions

Get Directions

NPI Details

DR. Shain S Wallis, DO is a diagnostic radiology radiology in Liverpool, NY with 21 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. Shain S Wallis, DO NPI is 1356653729. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5100 WEST TAFT RD
STE 2A
LIVERPOOL, NY
ZIP 13088
Phone: (315) 452-2666
Fax: (315) 452-2669

The NPI 1356653729 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.

  • Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml (HCPCS:Q9967)
  • Screening mammography (HCPCS:77067)
  • Screening 3d breast mammography (HCPCS:77063)
  • X-ray of chest, 1 view (HCPCS:71045)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Dxa bone density measurement of hip, pelvis, spine (HCPCS:77080)
  • Ct scan of chest without contrast (HCPCS:71250)
  • Ultrasound scan of head and neck soft tissue (HCPCS:76536)
  • Diagnostic mammography of 1 breast (HCPCS:77065)
  • Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes (HCPCS:99152)
  • Complete ultrasound scan of 1 breast (HCPCS:76641)
  • Limited ultrasound scan of abdomen (HCPCS:76705)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Low dose ct scan of chest for lung cancer screening (HCPCS:71271)
  • X-ray of abdomen, 1 view (HCPCS:74018)
  • Ultrasound study of one arm or leg veins with compression and maneuvers (HCPCS:93971)
  • Limited ultrasound scan of 1 breast (HCPCS:76642)
  • X-ray of lower and sacral spine, minimum of 4 views (HCPCS:72110)
  • Ultrasound of both sides of head and neck blood flow (HCPCS:93880)
  • Biopsy of breast and placement of locating device using ultrasound, first growth (HCPCS:19083)
  • Fine needle aspiration biopsy using ultrasound guidance, first growth (HCPCS:10005)
  • Ct scan of blood vessels of chest with contrast (HCPCS:71275)
  • Ct scan of abdomen and pelvis without contrast (HCPCS:74176)
  • Complete ultrasound scan of abdomen (HCPCS:76700)
  • Limited ultrasound scan behind abdominal cavity (HCPCS:76775)
  • Review by radiologist of image for replacement of stomach or large bowel tube (HCPCS:75984)
  • Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) (HCPCS:G0279)
  • Aspiration of fluid from chest cavity using imaging guidance (HCPCS:32555)
  • Simple change of bladder tube (HCPCS:51705)
  • X-ray of knee, 4 or more views (HCPCS:73564)
  • Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
  • Ct scan head or brain without contrast (HCPCS:70450)
  • Biopsy of breast and placement of locating device using x-ray with needle, first growth (HCPCS:19081)
  • Core needle biopsy of lung or center cavity of chest (mediastinum), accessed through skin (HCPCS:32408)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • Fluoroscopic guidance for needle placement (HCPCS:77002)
  • Review by radiologist of ct guidance for needle placement (HCPCS:77012)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • Diagnostic mammography of both breasts (HCPCS:77066)
  • Complete ultrasound scan behind abdominal cavity (HCPCS:76770)
  • X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
  • Ct scan of chest with contrast (HCPCS:71260)
  • Aspiration and/or injection of fluid from large joint (HCPCS:20610)
  • Replacement of stomach or large bowel tube using fluoroscopic guidance with contrast (HCPCS:49450)
  • Ct scan head or brain without contrast (HCPCS:70450)
  • Limited ultrasound scan of joint or other extremity structure lacking blood vessels (HCPCS:76882)
  • Ultrasound study of arm or leg veins with compression and maneuvers (HCPCS:93970)
  • Single contrast x-ray of esophagus (HCPCS:74220)
  • X-ray of upper spine, 2-3 views (HCPCS:72040)

The enumeration date for this NPI number is 7/13/2010 and was last updated on 1/29/2024.

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
1390200000XStudent in an Organized Health Care Education/Training ProgramNo
22085R0202XRadiologyDiagnostic Radiology264957NEW YORKYes

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

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.