1. Home
  2. Directory
  3. Massachusetts
  4. Burlington
  5. Psychiatry Neurology
  6. NPI Profile

DR. ILLYA TOLOKH M.D., PH.D.
NPI 1528472073
Psychiatry & Neurology - Neurology in Burlington, MA

Active since June 12, 2014PECOS EnrolledAccepts Medicare Assignment
91.41/100
CMS Quality Rating
LAHEY HOSPITAL & MEDICAL CENTER, 41 MALL RD, BURLINGTON, MA 01805(781) 744-8640(781) 744-5581 Get Directions Write a Review

NPPES record last updated: December 4, 2019. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Dec 4, 2019, Jun 13, 2019, Mar 16, 2018 and 1 more (4 updates tracked since 2017).

About Dr. Illya Tolokh M.d., Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ILLYA TOLOKH M.D., PH.D. (NPI 1528472073) is an individual neurology provider in Burlington, Massachusetts, licensed in Massachusetts (269872) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS, is affiliated with Northeast Hospital Corporation, and maintains a secondary practice location in Boston.

NPPES Registry Identity

NPI1528472073
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameDR. ILLYA TOLOKHCredential: M.D., PH.D.
Location AddressLAHEY HOSPITAL & MEDICAL CENTER, 41 MALL RDBurlington, MA 01805
Mailing AddressLahey Hospital & Medical Center, 41 Mall RoadBurlington, MA 01805 · (781) 744-8000 · Fax (781) 744-5581
Phone(781) 744-8640
Fax(781) 744-5581
Sole ProprietorYes
Medical School CMSWashington University School Of MedicineGraduated 2014
Enumeration DateJune 12, 2014
Last NPPES UpdateDecember 4, 20194 updates tracked since enumeration
✔ NPI 1528472073 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in MA · 269872
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 269872 (MA)
LAHEY HOSPITAL & MEDICAL CENTER, Burlington, MA 01805
Open in Google Maps ↗

Secondary Practice Location 1

Location 155 FRUIT ST, WAC 720 MASS GENERAL HOSPITAL, NEUROLOGYBoston, MA 02114 · Phone (617) 726-3311

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Illya Tolokh M.d., Ph.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID345469821
PECOS Enrollment IDI20191218001845
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 15

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Measurement of brain wave activity with video (veeg), 12-26 hours with review and report by health care professional 95720
This procedure monitors brain wave activity over 12-26 hours using Video EEG (VEEG). It involves recording brain waves and video to detect irregularities. A healthcare professional will review the data and provide a report. It's non-invasive and safe.
125 services58 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
97 services70 patients
Measurement of brain wave activity (eeg), awake and drowsy 95816
Measurement of brain wave activity, also known as an EEG, is a non-invasive test that records electrical patterns in your brain. This procedure is done when you're awake and drowsy to understand how your brain functions during different states of consciousness.
66 services64 patients
Measurement of brain wave activity (eeg), 61-119 minutes 95813
The procedure you're having is an EEG, which measures your brain's electrical activity. Electrodes placed on your scalp capture signals that are recorded for 61-119 minutes. This helps identify any irregularities, aiding in diagnosing conditions like epilepsy or sleep disorders.
51 services50 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
39 services37 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
37 services28 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northeast Hospital Corporation

Acute Care Hospitals · Beverly, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220033
Location85 Herrick StreetBeverly, MA 01915 · Essex County
Emergency services Birthing friendly

Winchester Hospital

Acute Care Hospitals · Winchester, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220105
Location41 Highland AvenueWinchester, MA 01890 · Middlesex County
Emergency services Birthing friendly

Lahey Hospital & Medical Center, Burlington

Acute Care Hospitals · Burlington, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220171
Location41 & 45 Mall RoadBurlington, MA 01803 · Middlesex County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01805 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$144.11 typical visit price
range $63.72 – $189.86
Typical copayment $36.02 (range $15.93 – $47.46)
Most-billed visit code 99204
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

91.41/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality76.87
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MING LIN MD
Internal Medicine (Gastroenterology)
LAHEY HOSPITAL & MEDICAL CENTER, 41 MALL ROAD
BURLINGTON, MA 01805
Middlesex County (781) 744-2500
DR. RICHARD THOMAS M.D.
Radiology (Diagnostic Radiology)
LAHEY HOSPITAL & MEDICAL CENTER, 41 MALL ROAD
BURLINGTON, MA 01805
Middlesex County (781) 744-8170
LIVIA KELLY
Nurse Practitioner (Acute Care)
LAHEY HOSPITAL & MEDICAL CENTER, 41 MALL ROAD
BURLINGTON, MA 01805
Middlesex County (781) 744-8132
FLORIAN HACKL M.D.
Anesthesiology
LAHEY HOSPITAL & MEDICAL CENTER, 41 MALL ROAD
BURLINGTON, MA 01805
Middlesex County (781) 744-8132
DR. EMANUELE ORRU' M.D.
Radiology (Neuroradiology)
LAHEY HOSPITAL & MEDICAL CENTER, 41 MALL ROAD
BURLINGTON, MA 01805
Middlesex County (781) 744-8170
DR. KATHERINE R VOSBURG D.O.
Internal Medicine
LAHEY HOSPITAL & MEDICAL CENTER, 41 MALL ROAD
BURLINGTON, MA 01805
Middlesex County (781) 744-3839
ELIZABETH ATLEE MENEFEE NP
Nurse Practitioner (Acute Care)
LAHEY HOSPITAL & MEDICAL CENTER, 41 MALL ROAD
BURLINGTON, MA 01805
Middlesex County (781) 744-3839
ANDREA K JANDA PA-C
Physician Assistant
LAHEY HOSPITAL & MEDICAL CENTER, 41 MALL ROAD
BURLINGTON, MA 01805
Middlesex County (781) 744-8460

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Illya Tolokh's NPI number?

The NPI number for Illya Tolokh is 1528472073. It was assigned to this individual provider in the NPPES registry on June 12, 2014.

Where is Illya Tolokh located?

Illya Tolokh practices at Lahey Hospital & Medical Center 41 Mall Rd, Burlington, MA 01805. The listed phone number is (781) 744-8640.

What is Illya Tolokh's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Illya Tolokh enrolled in Medicare?

Yes. Illya Tolokh is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Illya Tolokh accept?

Health plans from Anthem Blue Cross and Blue Shield list Illya Tolokh as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Illya Tolokh affiliated with any hospitals?

According to CMS data, Illya Tolokh is affiliated with Northeast Hospital Corporation, Winchester Hospital and Lahey Hospital & Medical Center, Burlington.

When was this NPI record last updated?

The NPPES record for Illya Tolokh was last updated on December 4, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.