Individual provider Active NPI

Nathaniel Tucay Gordon, M.D.

  • Sleep Medicine (Family Medicine) Physician
  • Boston, MA
National Provider Identifier
1700266988
Registry record updated Apr 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Family Medicine) PhysicianTaxonomy code 207QS1201X
License
1025754 Issued in MA
Practice address
75 Francis St
Boston, MA 02115-6110
Phone
(617) 732-4013
NPI assigned
Jun 3, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Medicine (Internal Medicine) Physician 207RS0012X 1025754 MA
Sleep Medicine (Family Medicine) Physician 207QS1201X 1025754 MA Primary
Sleep Medicine (Family Medicine) Physician 207QS1201X 0101262244 VA

Addresses

Primary practice location

75 Francis St
Boston, MA 02115-6110

Mailing address

855 W Brambleton Ave
Norfolk, VA 23510-1005
Phone (757) 446-5906

Other practice location 1

855 W Brambleton Ave
Norfolk, VA 23510-1005
Phone (757) 446-5906

Other practice location 2

1153 Centre St
Jamaica Plain, MA 02130-3446
Phone (617) 983-7000

Other practice location 3

221 Longwood Ave
Boston, MA 02115-5804
Phone (617) 732-4013

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, MA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230703000604 VA Practitioner - Sleep Medicine 7810266202 Reassigns benefits to 1 organization
I20260425000396 MA Practitioner - Sleep MedicinePractitioner - Family Practice 7810266202 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Sleep MedicineAlso: Family Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

75 Francis St
Boston, MA 02115-6110
Phone (617) 732-5500

855 W Brambleton Ave
Norfolk, VA 23510-1005
Phone (757) 446-5908

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
1025754MAMDSleep Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Evms Academic Physicians and Surgeons Health Services Foundation Family Medicine CurrentSince Aug 14, 2023 Accepting new patients

Locations

600 Gresham Dr
Norfolk, VA 23507
Phone (757) 473-0055

855 W Brambleton Ave
Norfolk, VA 23510
Phone (757) 446-5908

Organizations & group practices 2

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.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1433289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776816000000",
    "number": "1700266988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "855 W BRAMBLETON AVE",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235101005",
            "telephone_number": "757-446-5906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 FRANCIS ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021156110",
            "telephone_number": "617-732-4013"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "855 W Brambleton Ave",
            "address_purpose": "LOCATION",
            "city": "Norfolk",
            "state": "VA",
            "postal_code": "235101005",
            "country_code": "US",
            "telephone_number": "757-446-5906",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1153 Centre St",
            "address_purpose": "LOCATION",
            "city": "Jamaica Plain",
            "state": "MA",
            "postal_code": "021303446",
            "country_code": "US",
            "telephone_number": "617-983-7000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "221 Longwood Ave",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021155804",
            "country_code": "US",
            "telephone_number": "617-732-4013",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GORDON",
        "first_name": "NATHANIEL",
        "middle_name": "TUCAY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-06-03",
        "last_updated": "2026-04-22",
        "certification_date": "2026-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "MA",
            "license": "1025754",
            "primary": false
        },
        {
            "code": "207QS1201X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sleep Medicine",
            "state": "MA",
            "license": "1025754",
            "primary": true
        },
        {
            "code": "207QS1201X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sleep Medicine",
            "state": "VA",
            "license": "0101262244",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.