Ellen Wallace, M.D.
NPI 1720026552 · Diagnostic Radiology Physician · Worcester, MA
Enrolled with Medicare as Practitioner - Diagnostic Radiology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ellen Wallace, M.D. is a Diagnostic Radiology Physician provider in Worcester, MA (NPI 1720026552).
Provider details
- NPI number
- 1720026552
- Entity type
- Individual
- Primary specialty
- Diagnostic Radiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 76584 (MA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-06-03
- Last updated
- 2023-12-08
- Certified
- 2023-12-08
Frequently asked questions
- What is Ellen Wallace's NPI number?
- Ellen Wallace's National Provider Identifier (NPI) is 1720026552, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ellen Wallace's specialty?
- Ellen Wallace is listed in the NPPES registry with a primary specialty of Diagnostic Radiology Physician (Allopathic & Osteopathic Physicians).
- Where is Ellen Wallace located?
- Ellen Wallace's practice location on file with NPPES is 55 Lake Ave N, Worcester, MA 01655-0002.
- What is Ellen Wallace's phone number?
- The practice phone number listed in the NPPES registry for Ellen Wallace is (508) 334-3850.
- Does Ellen Wallace accept Medicare?
- Ellen Wallace is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Ellen Wallace's NPI active?
- Yes — Ellen Wallace's NPI (1720026552) is active in the NPPES registry as of the last update on 2023-12-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.