Active NPI
Gordon W Theisz, MD
- Family Medicine Physician
- Norfolk, VA
National Provider Identifier
1437101508
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 0101102617
- Practice address
- 825 Fairfax Ave # 118
Norfolk, VA 23507-1912 - Phone
- (757) 446-5955
- Fax
- (757) 446-5196
- NPI assigned
- May 17, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 0101102617 | VA | Primary |
Addresses
Primary practice location
825 Fairfax Ave # 118
Norfolk, VA 23507-1912
Mailing address
825 Fairfax Ave # 118
Norfolk, VA 23507-1914
Phone (757) 446-5955
Other practice location 1
3640 High St Ste 3B
Portsmouth, VA 23707-3213
Phone (757) 397-6344
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00377886 | Other | VA | RAILROAD MEDICARE |
| 010189781 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Virginia School of Medicine, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
825 Fairfax Ave
Norfolk, VA 23507-1914
Phone (757) 446-5955
Hospital & facility affiliations
- Sentara Homecare Services
- Sentara Norfolk General Hospital
- Sentara Leigh Hospital
- Sentara Virginia Beach General Hospital
- Bon Secours Maryview Medical Center
- Sentara Obici Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101102617 | VA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Evms Academic Physicians and Surgeons Health Services Foundation | Family Medicine | Current | Accepting new patients |
| Family Medicine in Falls Church PC | Family Medicine | Current | Accepting new patients |
| Bestpractices, Inc. | Past | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Coastal Podiatry, Inc | Past | Accepting new patients | |
| Bestpractices, Inc. | Past | Accepting new patients |
Locations
124 E Broad St
Ste A
Falls Church, VA 22046
Phone (703) 533-7555
825 Fairfax Ave
#118
Norfolk, VA 23507
Phone (757) 446-5955
600 Gresham Dr
Norfolk, VA 23507
Phone (757) 473-0055
825 Fairfax Ave
Ste 118
Norfolk, VA 23507
Phone (757) 446-5955
3640 High St
Ste 3B
Portsmouth, VA 23707
Phone (757) 397-6344
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Norfolk, VA
- NPI 1003887118
Family Medicine
-
- Emergency Medicine Physician
- Falls Church, VA
- NPI 1639177942
-
- Emergency Medicine Physician
- Woodbridge, VA
- NPI 1730180944
-
- Podiatrist
- Virginia Beach, VA
- NPI 1255356713
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
Hospital & facility affiliations 15
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Portsmouth, VA
- NPI 1750399192
-
- Home Health Agency
- Chesapeake, VA
- NPI 1992741060
-
- General Acute Care Hospital
- Suffolk, VA
- NPI 1376540138
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755648000000",
"number": "1437101508",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "825 FAIRFAX AVE # 118",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235071914",
"telephone_number": "757-446-5955"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "825 FAIRFAX AVE # 118",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235071912",
"telephone_number": "757-446-5955",
"fax_number": "757-446-5196"
}
],
"practiceLocations": [
{
"address_1": "3640 High St Ste 3B",
"address_purpose": "LOCATION",
"city": "Portsmouth",
"state": "VA",
"postal_code": "237073213",
"country_code": "US",
"telephone_number": "757-397-6344",
"fax_number": "757-606-1185",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "THEISZ",
"first_name": "GORDON",
"middle_name": "W",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-17",
"last_updated": "2025-08-20",
"certification_date": "2025-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "VA",
"license": "0101102617",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00377886",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010189781",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Norfolk, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.