Stephen Elliot Gordon, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

240632 Issued in MA

Practice address

330 Brookline Ave
Deaconess 307
Boston, MA 02215-5400

Phone

(617) 667-7000

NPI assigned

Aug 24, 2009

Last updated

Aug 24, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal MedicineAlso: Geriatric Medicine

Education

Yale University School of Medicine, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hebrew Seniorlife Affiliated Medical Group IncGroup PAC ID 2062774177, 16 clinicians

Cambridge Public Health CommissionGroup PAC ID 8921910894, 654 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hebrew Rehabilitation Center Long-term care hospital, Boston, MA, CCN 222007
• Sancta Maria Nursing Facility Nursing home, Cambridge, MA, CCN 225573
• Cambridge Rehabilitation & Nursing Center Nursing home, Cambridge, MA, CCN 225520

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cambridge Public Health Commission

  dba Cambridge Health Alliance

  • General Acute Care Hospital
  • Cambridge, MA
  • NPI 1932313228
  Medicare reassignment Care Compare group NPD
• Hebrew Seniorlife Affiliated Medical Group Inc

  • Internal Medicine Physician
  • Roslindale, MA
  • NPI 1477069391
  Medicare reassignment Care Compare group NPD
• Sancta Maria Hospital, Inc.

  dba Sancta Maria Hospital dba Sancta Maria Nursing Facility

  • Skilled Nursing Facility
  • Cambridge, MA
  • NPI 1144328691
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• CRNC Operating LLC.

  dba Cambridge Rehabilitation and Nursing Center

  • Skilled Nursing Facility
  • Cambridge, MA
  • NPI 1528387768

  Nursing home

  Care Compare affiliation
• Hebrew Rehabilitation Center

  dba Hebrew Rehab Center

  • Long Term Care Hospital
  • Boston, MA
  • NPI 1437155967

  Long-term care hospital

  Care Compare affiliation
• Sancta Maria Hospital, Inc.

  dba Sancta Maria Hospital dba Sancta Maria Nursing Facility

  • Skilled Nursing Facility
  • Cambridge, MA
  • NPI 1144328691

  Nursing home

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1251072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251072000000",
    "number": "1609009711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 BROOKLINE AVE",
            "address_2": "DEACONESS 307",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022155400",
            "telephone_number": "617-667-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 BROOKLINE AVE",
            "address_2": "DEACONESS 307",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022155400",
            "telephone_number": "617-667-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "STEPHEN",
        "middle_name": "ELLIOT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-24",
        "last_updated": "2009-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "240632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathaniel Tucay Gordon, M.D.
• Rebecca Judith Gordon, M.D.
• Rosemarie Roque Gordon, MD
• Sarah Elizabeth Moore Gordon, RN, NP
• Shari Gordon
• William Joseph Gordon, MD
• Yael W Gordon
• Chandlee Raynor Gore, PNP
• Rahul Gore, MD
• Stacey M. Gore, MD

• Internal Medicine Physician in Boston, MA
• Providers in Boston, MA by specialty
• Internal Medicine Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2009; 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.

Verify at the official NPI Registry.