Active NPI
Alla Goldburt, M.D.
- Family Medicine Physician
- Peabody, MA
National Provider Identifier
1467747816
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 258751
- Practice address
- 100 Corporate PL Ste 503
Peabody, MA 01960-3892 - Phone
- (351) 344-6705
- Fax
- (978) 321-2576
- NPI assigned
- Jun 14, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | LP02230 | RI | |
| Family Medicine Physician | 207Q00000X | MD14642 | RI | |
| Family Medicine Physician | 207Q00000X | 258751 | MA | Primary |
Addresses
Primary practice location
100 Corporate PL Ste 503
Peabody, MA 01960-3892
Mailing address
100 Corporate PL Ste 503
Peabody, MA 01960-3892
Phone (351) 344-6705
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jan 26, 2026 through Jan 26, 2028
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Rush Medical College of Rush University, 2011
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
170 Governors Ave
Physician Services
Medford, MA 02155-3089
345 Blackstone Blvd
Johnson BLDG
Providence, RI 02906-4861
PO Box
Suite 3237
Woburn, MA 01888-3237
Hospital & facility affiliations
- Tufts Medicine Care at Home
- Melrosewakefield Healthcare
- Massachusetts General Hospital
- Tufts Medical Center
- Lahey Hospital & Medical Center, Burlington
- Spaulding Rehabilitation Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 258751 | MA | MD | Family Medicine Physician |
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Burlington, MA
- NPI 1558392563
-
- General Acute Care Hospital
- Medford, MA
- NPI 1841290467
-
- General Acute Care Hospital
- Boston, MA
- NPI 1023049236
-
dba Spaulding Rehabilitation Hospital - Boston
- Rehabilitation Hospital
- Charlestown, MA
- NPI 1780600825
Inpatient rehabilitation facility
-
dba Tufts Medical Center
- General Acute Care Hospital
- Boston, MA
- NPI 1730132515
-
- Home Health Agency
- Lowell, MA
- NPI 1336443472
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782432000000",
"number": "1467747816",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 CORPORATE PL STE 503",
"city": "PEABODY",
"state": "MA",
"postal_code": "019603892",
"telephone_number": "351-344-6705",
"fax_number": "978-321-2576"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 CORPORATE PL STE 503",
"city": "PEABODY",
"state": "MA",
"postal_code": "019603892",
"telephone_number": "351-344-6705",
"fax_number": "978-321-2576"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDBURT",
"first_name": "ALLA",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-06-14",
"last_updated": "2026-06-26",
"certification_date": "2026-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "RI",
"license": "LP02230",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "RI",
"license": "MD14642",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MA",
"license": "258751",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Peabody, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.