DR. RYAN LEE WALLACE MD
NPI 1922663392
Internal Medicine - Cardiovascular Disease in Boston, MA
About Dr. Ryan Lee Wallace Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. RYAN LEE WALLACE MD (NPI 1922663392) is an individual cardiovascular disease provider in Boston, Massachusetts, licensed in Massachusetts (1022399) and active in the NPI registry since May 2019. He is enrolled in Medicare PECOS and is a graduate of Virginia Commonwealth University, School Of Medicine (2019).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Ryan Lee Wallace Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Ryan Wallace reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Boston, MA 02215
- Reassigned Medicare billing, Massachusetts enrollment
- 2,579 clinicians in this Medicare group
Roxbury Crossing, MA 02120
- Reassigned Medicare billing, Massachusetts enrollment
- 112 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 02215 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
BOSTON, MA 02215
BOSTON, MA 02215
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 Ryan Wallace's NPI number?
The NPI number for Ryan Wallace is 1922663392. It was assigned to this individual provider in the NPPES registry on May 1, 2019.
Where is Ryan Wallace located?
Ryan Wallace practices at 185 Pilgrim Rd, Boston, MA 02215. The listed phone number is (617) 667-8800.
What is Ryan Wallace's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.
Is Ryan Wallace enrolled in Medicare?
Yes. Ryan Wallace is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Ryan Wallace's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ryan Wallace reassigns Medicare benefits to 2 organizations: Harvard Medical Faculty Phys At Beth Israel Deaconess Med Ctr Inc (Boston, MA) and New England Baptist Medical Associates, Inc. (Roxbury Crossing, MA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ryan Wallace's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Ryan Wallace accept?
Health plans from Anthem Blue Cross and Blue Shield list Ryan 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 Ryan Wallace was last updated on May 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.
# Dr. Ryan Lee Wallace, MD · NPI 1922663392
Cardiovascular Disease physician in Boston, Massachusetts. Individual provider, active in the CMS NPPES registry since May 1, 2019.
## Identity
- **NPI:** 1922663392 (Entity type: Individual)
- **Enumerated:** May 1, 2019
- **Primary specialty:** Internal Medicine - Cardiovascular Disease · taxonomy 207RC0000X
- **State license:** 1022399 (Massachusetts)
- **Sole proprietor:** No
## Practice location
- **Address:** 185 PILGRIM RD, Boston, MA 02215-5324
- **Phone:** (617) 667-8800
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Harvard Medical Faculty Phys At Beth Israel Deaconess Med Ctr Inc (NPI 1194765438, Boston, MA); New England Baptist Medical Associates, Inc. (NPI 1609854991, Roxbury Crossing, MA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Virginia Commonwealth University, School Of Medicine, class of 2019
## Record status
- **NPPES last updated:** May 1, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1922663392) · Data from the CMS NPPES public registry.