DR. GIANLUCA TORALDO M.D., PH.D.
NPI 1972869857
Internal Medicine - Endocrinology, Diabetes & Metabolism in Burlington, MA
About Dr. Gianluca Toraldo M.d., Ph.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. GIANLUCA TORALDO M.D., PH.D. (NPI 1972869857) is an individual endocrinology, diabetes & metabolism provider in Burlington, Massachusetts, licensed in Massachusetts (269721) and active in the NPI registry since April 2012. He is enrolled in Medicare PECOS, is affiliated with Mount Auburn Hospital, and is a graduate of Other (1996).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Gianluca Toraldo 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.
Medicare Billing Reassignment
Medicare enrollment records show Gianluca Toraldo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Burlington, MA 01805
- Reassigned Medicare billing, Massachusetts enrollment
- Also billed through NPI 1063447316 (Massachusetts)
- 1,574 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 11
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.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Mount Auburn Hospital
Acute Care Hospitals · Cambridge, MANortheast Hospital Corporation
Acute Care Hospitals · Beverly, MABeth Israel Deaconess Medical Center
Acute Care Hospitals · Boston, MAWinchester Hospital
Acute Care Hospitals · Winchester, MALahey Hospital & Medical Center, Burlington
Acute Care Hospitals · Burlington, MAPhysician 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.
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.
Referred Medical Equipment & Supplies CMS DME claims 4
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
BURLINGTON, MA 01805
BURLINGTON, MA 01805
BURLINGTON, MA 01805
BURLINGTON, MA 01805
BURLINGTON, MA 01805
BURLINGTON, MA 01805
BURLINGTON, MA 01805
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 Gianluca Toraldo's NPI number?
The NPI number for Gianluca Toraldo is 1972869857. It was assigned to this individual provider in the NPPES registry on April 5, 2012.
Where is Gianluca Toraldo located?
Gianluca Toraldo practices at 41 Mall Road Lahey Hospital And Medical Center, Burlington, MA 01805. The listed phone number is (781) 835-9064.
What is Gianluca Toraldo's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.
Is Gianluca Toraldo enrolled in Medicare?
Yes. Gianluca Toraldo 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.
Which organization bills Medicare for Gianluca Toraldo's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Gianluca Toraldo reassigns Medicare benefits to Lahey Clinic, Inc. (Burlington, MA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Gianluca Toraldo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Gianluca Toraldo accept?
Health plans from Anthem Blue Cross and Blue Shield list Gianluca Toraldo 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 Gianluca Toraldo affiliated with any hospitals?
According to CMS data, Gianluca Toraldo is affiliated with Mount Auburn Hospital, Northeast Hospital Corporation, Beth Israel Deaconess Medical Center, Winchester Hospital and Lahey Hospital & Medical Center, Burlington.
When was this NPI record last updated?
The NPPES record for Gianluca Toraldo was last updated on September 6, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Dr. Gianluca Toraldo, M.D., PH.D. · NPI 1972869857
Endocrinology, Diabetes & Metabolism physician in Burlington, Massachusetts. Individual provider, active in the CMS NPPES registry since April 5, 2012.
## Identity
- **NPI:** 1972869857 (Entity type: Individual)
- **Enumerated:** April 5, 2012
- **Primary specialty:** Internal Medicine - Endocrinology, Diabetes & Metabolism · taxonomy 207RE0101X
- **State license:** 269721 (Massachusetts)
- **Sole proprietor:** No
## Practice location
- **Address:** 41 MALL ROAD, LAHEY HOSPITAL AND MEDICAL CENTER, Burlington, MA 01805-0001
- **Phone:** (781) 835-9064 · **Fax:** (781) 744-5348
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Lahey Clinic, Inc. (NPI 1538194980, Burlington, MA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1996
## Record status
- **NPPES last updated:** September 6, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1972869857) · Data from the CMS NPPES public registry.