KOJO WALLACE MD NPI 1720475866

NPI Details

Kojo Wallace, MD is a trauma surgery surgery in Lynchburg, VA. The provider is trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency. Kojo Wallace, MD NPI is 1720475866. The provider is registered as an individual entity type and is a multi-specialty group.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

CENTRA LYNCHBURG GENERAL HOSPITAL
1901 TATE SPRINGS RD
LYNCHBURG, VA
ZIP 24501
Phone: (434) 200-3000

The NPI 1720475866 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.

• Follow-up hospital inpatient care per day, typically 25 minutes (HCPCS:99232)
• Critical care, first 30-74 minutes (HCPCS:99291)
• Follow-up hospital inpatient care per day, typically 35 minutes (HCPCS:99233)
• Follow-up hospital inpatient care per day, typically 15 minutes (HCPCS:99231)
• Emergency department visit for problem of moderate severity (HCPCS:99283)
• Initial hospital inpatient care per day, typically 30 minutes (HCPCS:99221)
• Initial hospital inpatient care per day, typically 50 minutes (HCPCS:99222)
• Colonoscopy (HCPCS:NAN13)
• Upper gastrointestinal (GI) endoscopy for acid reflux (HCPCS:NAN12)

The enumeration date for this NPI number is 4/15/2015 and was last updated on 7/11/2025.

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: