Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Gary I Polykoff, MD

Individual provider Physical Medicine & Rehabilitation Physician · NPI 1063402352

Dr. Gary I Polykoff, MD is a Pain Management in Boston, Massachusetts. Qualified in 1982, 44 years ago. Practices with The General Hospital Corporation, a 1,276-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Massachusetts.

Years since qualifying
44
Licensed in
MA
In the registry since
2005
Specialties on file
2
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

15 Parkman St Wac 340 Anesthesia Pain Management
Boston, MA 02114-3117
Phone: (617) 726-3512
Fax: (617) 726-3519
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence 81894 (MA)
Pain Medicine (Physical Medicine & Rehabilitation) Physician Taxonomy 2081P2900X · Licence 81894 (MA)

Record details

NPI number1063402352
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedOctober 27, 2005
Last updated in NPPESSeptember 22, 2011
Mailing addressPo Box 9142, Mass General Physician Organization, Charlestown, MA 02129-9142

Medicare enrollment

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

Medicare specialtyPAIN MANAGEMENT
Also practisesPHYSICAL MEDICINE AND REHABILITATION
Medical schoolOTHER
Graduated 1982 (44 years in practice)
Group practice The General Hospital Corporation — 1276 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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