Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1477298776 Individual Practitioner Female Practitioner

Dr. Meghan Wallace , DO

General Practice • Aurora, CO

Professional Overview & Biography Verified Profile Summary

Dr. Meghan Wallace, DO is a registered healthcare professional specializing in General Practice in Aurora, CO. Practice services are available at 12631 E 17TH AVE STE F496 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

12631 E 17th Ave Ste F496

Aurora, CO 800452527

Telephone 7205532696

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Aurora, CO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 23.7 Yrs
State Avg: 18.4 Yrs
Regional Practice Density
90 Specialists

Practicing in Aurora, CO (331 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-11-07
General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License CO DR.0075789

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

31 Associated Practitioners
Dr. Haleh Matinrad , MD

Student in an Organized Health Care Education/Training Program

NPI 1023805603

Doctor of Medicine (M.D.)

Dr. Lillian Toaspern , MD

Student in an Organized Health Care Education/Training Program

NPI 1033806120

Doctor of Medicine (M.D.)

Dr. Hannah Kimmel Supron , MD, MPH

Student in an Organized Health Care Education/Training Program

NPI 1063263465

Doctor of Medicine (M.D.), Master of Public Health

Miller Balley

Student in an Organized Health Care Education/Training Program

NPI 1144075334
NPI 1184078214

Doctor of Medicine (M.D.), Master of Public Health

Dr. Nathan Schenkman , MD

Student in an Organized Health Care Education/Training Program

NPI 1205360716

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 07, 2025

General Practice (License #DR.0075789 in CO)

NPI Profile Active May 02, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location May 02, 2022

Registered at 12631 E 17TH AVE STE F496, AURORA, CO 800452527 (Tel: 7205532696)

📍
Updated Business Mailing Address May 02, 2022

Registered at 12631 E 17TH AVE STE F496, AURORA, CO 800452527

👤
Provider Name / Credentials Updated May 02, 2022

Recorded as MEGHAN WALLACE, DO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 02, 2022

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration May 02, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1477298776
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 02, 2022
Last Update: November 07, 2025
Sole Proprietor: No

Mailing Address

12631 E 17th Ave Ste F496

Aurora, CO 800452527

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.