Individual provider Active NPI

Alla Goldburt, M.D.

  • Family Medicine Physician
  • Peabody, MA
National Provider Identifier
1467747816
Registry record updated Jun 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
258751 Issued in MA
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

Updated by the provider on Jun 26, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.
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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
258751MAMDFamily Medicine Physician

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.