Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1568662492 Individual Practitioner Female Practitioner

Dr. Kristen S Wallis , MD

Pediatrics • Hamden, CT

Professional Overview & Biography Verified Profile Summary

Dr. Kristen Wallis, MD is a registered healthcare professional specializing in Pediatrics in Hamden, CT. Practice services are available at 299 WASHINGTON AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

299 Washington Ave

Hamden, CT 065183026

Telephone 2032884288
Fax 8554144010
Associated Practice Facility / Clinic
🏢 Children's Medical Group, Llc Facility NPI 1588603997

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Hamden, CT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 19.0 Yrs
State Avg: 23.5 Yrs
Regional Practice Density
19 Specialists

Practicing in Hamden, CT (1087 Statewide)

Telehealth Adoption Rate
5.3% 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: 2021-04-30
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License CT 046513

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License NY 244100

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
02896880 (CT)

Practice Associates & Co-Workers

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

11 Associated Practitioners
NPI 1023439338

Doctor of Medicine (M.D.)

Glenn Xavier , LMSW

Social Worker - Clinical

NPI 1033302690

Licensed Master Social Worker

NPI 1053355032

Doctor of Medicine (M.D.), FAAP

NPI 1205877081

Doctor of Medicine (M.D.), FAAP

NPI 1215119086

Doctor of Osteopathic Medicine (D.O.)

NPI 1255376224

Doctor of Medicine (M.D.), FAAP

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) April 30, 2021

Pediatrics (License #046513 in CT)

NPI Profile Active March 16, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location March 16, 2012

Registered at 299 WASHINGTON AVE, HAMDEN, CT 065183026 (Tel: 2032884288)

📍
Updated Business Mailing Address March 16, 2012

Registered at 299 WASHINGTON AVE, HAMDEN, CT 065183026 (Tel: 2032884288)

👤
Provider Name / Credentials Updated March 16, 2012

Recorded as KRISTEN WALLIS, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 16, 2012

Pediatrics (License #046513 in CT)

🟢
Initial NPI Registration & Enumeration July 19, 2007

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: 1568662492
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 19, 2007
Last Update: April 30, 2021
Sole Proprietor: No

Mailing Address

299 Washington Ave

Hamden, CT 065183026

Phone: 2032884288

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.