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ALEXANDRA C WALLACE MD
NPI 1255869012
Pediatrics in Boston, MA

Active since May 24, 2017PECOS Enrolled
MASSACHUSETTS GENERAL HOSPITAL, 55 FRUIT ST., BOSTON, MA 02114(617) 726-2000 Get Directions Write a Review

NPPES record last updated: May 24, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Alexandra C Wallace Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALEXANDRA C WALLACE MD (NPI 1255869012) is an individual pediatrics provider in Boston, Massachusetts, licensed in Massachusetts (270997) and active in the NPI registry since May 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255869012
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameALEXANDRA C WALLACECredential: MD
Location AddressMASSACHUSETTS GENERAL HOSPITAL, 55 FRUIT ST.Boston, MA 02114
Mailing AddressMassachusetts General Hospital, 55 Fruit St.Boston, MA 02114 · (617) 726-2000
Phone(617) 726-2000
Sole ProprietorNo
Enumeration DateMay 24, 2017
✔ NPI 1255869012 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in MA · 270997
Definition
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.
MASSACHUSETTS GENERAL HOSPITAL, Boston, MA 02114
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alexandra C Wallace Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02114 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KAITLYN MY-TU LAM MBBS
Internal Medicine (Cardiovascular Disease)
MASSACHUSETTS GENERAL HOSPITAL, 55 FRUIT STREET
BOSTON, MA 02114
Suffolk County (617) 724-7738
ALAKA RAY M.D.
Internal Medicine
MASSACHUSETTS GENERAL HOSPITAL, 55 FRUIT STREET
BOSTON, MA 02114
Suffolk County (617) 726-2066
MEGHAN E SISE M.D.
Internal Medicine (Nephrology)
MASSACHUSETTS GENERAL HOSPITAL, 55 FRUIT STREET
BOSTON, MA 02114
Suffolk County (617) 726-2862
HUGH G AUCHINCLOSS M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
MASSACHUSETTS GENERAL HOSPITAL, 55 FRUIT STREET
BOSTON, MA 02114
Suffolk County (617) 726-2000
ANGELA M. JACQUES MD
Pediatrics
MASSACHUSETTS GENERAL HOSPITAL, 55 FRUIT ST.
BOSTON, MA 02114
Suffolk County (617) 726-2066
NICOLE J LOOK-HONG MD, MSC
Surgery (Surgical Oncology)
MASSACHUSETTS GENERAL HOSPITAL, 55 FRUIT ST.
BOSTON, MA 02114
Suffolk County (617) 724-3868
CORINNA M ELLIOTT MA
Student in an Organized Health Care Education/Training Program
MASSACHUSETTS GENERAL HOSPITAL, 55 FRUIT STREET
BOSTON, MA 02114
Suffolk County (617) 724-5600
KIRAN J AGARWAL-HARDING MD
Orthopaedic Surgery
MASSACHUSETTS GENERAL HOSPITAL, 55 FRUIT ST.
BOSTON, MA 02114
Suffolk County (617) 726-2942

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alexandra Wallace's NPI number?

The NPI number for Alexandra Wallace is 1255869012. It was assigned to this individual provider in the NPPES registry on May 24, 2017.

Where is Alexandra Wallace located?

Alexandra Wallace practices at Massachusetts General Hospital 55 Fruit St., Boston, MA 02114. The listed phone number is (617) 726-2000.

What is Alexandra Wallace's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Alexandra Wallace enrolled in Medicare?

Yes. Alexandra Wallace is registered in the Medicare PECOS enrollment system.

What insurance does Alexandra Wallace accept?

Health plans from Anthem Blue Cross and Blue Shield list Alexandra Wallace as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Alexandra Wallace was last updated on May 24, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.