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DR. RYAN LEE WALLACE MD
NPI 1922663392
Internal Medicine - Cardiovascular Disease in Boston, MA

Active since May 01, 2019PECOS Enrolled
185 PILGRIM RD, BOSTON, MA 02215(617) 667-8800 Get Directions Write a Review

NPPES record last updated: May 1, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: May 1, 2026, Jul 29, 2022, Jun 18, 2019 and 1 more (4 updates tracked since 2019).

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

NPI1922663392
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDR. RYAN LEE WALLACECredential: MD
Location Address185 PILGRIM RDBoston, MA 02215-5324
Mailing Address185 Pilgrim RdBoston, MA 02215-5324 · (617) 667-8800
Phone(617) 667-8800
Sole ProprietorNo
Medical School CMSVirginia Commonwealth University, School Of MedicineGraduated 2019
Enumeration DateMay 1, 2019
Last NPPES UpdateMay 1, 20264 updates tracked since enumeration
NPPES CertifiedMay 1, 2026
✔ NPI 1922663392 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in MA · 1022399
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
185 PILGRIM RD, Boston, MA 02215
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Ryan Lee Wallace Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6901371400
PECOS Enrollment IDI20260413002139
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 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.

New Patient
$144.11 typical visit price
range $63.72 – $189.86
Typical copayment $36.02 (range $15.93 – $47.46)
Most-billed visit code 99204
Established Patient
$78.84 typical visit price
range $21.07 – $155.29
Typical copayment $19.71 (range $5.26 – $38.82)
Most-billed visit code 99213
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.

DR. JEREMY MICHAEL ROBBINS M.D.
Internal Medicine (Cardiovascular Disease)
185 PILGRIM RD, DEACONESS 319
BOSTON, MA 02215
Suffolk County (617) 632-8800
ABHILASHA SUZANNE ELIZABETH NATARAJAN LICSW
Social Worker (Clinical)
185 PILGRIM RD
BOSTON, MA 02215
Suffolk County (617) 632-8351
JOHN M GIURINI DPM
Podiatrist
185 PILGRIM RD, DIVISION OF PODIATRY
BOSTON, MA 02215
Suffolk County (617) 632-7071
NOAH HOWARD BOTON
Internal Medicine (Infectious Disease)
185 PILGRIM RD
BOSTON, MA 02215
Suffolk County (617) 632-7706
JACLYN MICHELLE FRENCH LCSW
Social Worker (Clinical)
185 PILGRIM RD
BOSTON, MA 02215
Suffolk County (617) 632-8840
JACQUELINE KANN LICSW
Social Worker (Clinical)
185 PILGRIM RD
BOSTON, MA 02215
Suffolk County (617) 632-8819
KATHERINE GERMAK LICSW
Social Worker (Clinical)
185 PILGRIM RD
BOSTON, MA 02215
Suffolk County (617) 632-8824
KAVITA MISTRY
Internal Medicine (Nephrology)
185 PILGRIM RD
BOSTON, MA 02215
Suffolk County (617) 632-9880

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.

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 4 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.