Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum Sole proprietor

Dr. Gary I Polykoff, MD

Physical Medicine & Rehabilitation Physician in Boston, MA · enumerated 2005.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1063402352

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Registry record

Entity type Individual (Type 1)

Name Dr. Gary I Polykoff

Credential MD

Sex Male

Practice address Boston, MA, 02114

Phone (617) 726-3512

Fax (617) 726-3519

Enumeration date Oct 27, 2005

Last updated in NPPES Sep 22, 2011

Street address withheld: NPPES sole-proprietor addresses can be home addresses. See our data policy.

Taxonomy & licenses

208100000X Physical Medicine & Rehabilitation Physician Allopathic & Osteopathic Physicians · License 81894 (MA) Primary

2081P2900X Pain Medicine (Physical Medicine & Rehabilitation) Physician Allopathic & Osteopathic Physicians · License 81894 (MA) Secondary

MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier	Type	State	Issuer
3186733	Medicaid	MA	-
J19417	Other	MA	BCBS MA
081894	Other	MA	TUFTS HEALTH PLAN

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How do I verify Gary Polykoff's NPI record?

Cross-check NPI 1063402352 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

Is NPI 1063402352 active?

Yes, as of the latest NPPES snapshot, NPI 1063402352 is active (record last updated 2011-09-22).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2011-09-22.