Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Sierra R Wallace, MD

Individual provider Internal Medicine Physician · NPI 1134869340

Sierra R Wallace, MD is an Internal Medicine in Boston, Massachusetts. Graduated from Drexel University College of Medicine in 2022, 4 years ago. Licensed in Massachusetts.

Years since qualifying
4
Trained at
Drexel University College of Medicine
Licensed in
MA
In the registry since
2022
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

801 Massachusetts Ave Crosstown 2
Boston, MA 02118-2605
Phone: (617) 414-7399
Fax: (617) 414-4676
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 1023386 (MA)

Record details

NPI number1134869340
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 29, 2022
Last updated in NPPESOctober 21, 2025
Certification dateOctober 21, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolDREXEL UNIVERSITY COLLEGE OF MEDICINE
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated

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