Individual provider Active NPI

Larry Adam Nathanson, M.D.

  • Emergency Medicine Physician
  • Boston, MA
National Provider Identifier
1740220276
Registry record updated Feb 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
158840 Issued in MA
Practice address
1 Deaconess Rd
W/CC2
Boston, MA 02215-5321
Phone
(617) 754-2389
NPI assigned
Jun 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 158840 MA Primary

Addresses

Primary practice location

1 Deaconess Rd
W/CC2
Boston, MA 02215-5321

Mailing address

1 Deaconess Rd
W/CC2
Boston, MA 02215-5321
Phone (617) 754-2389

Other practice location 1

41 Mall Rd
Burlington, MA 01805-5321
Phone (781) 744-8000

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20080417000055 MA Practitioner - Emergency Medicine 6103904073 Reassigns benefits to 10 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
State University of Ny Upstate Medical University, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lahey Clinic IncGroup PAC ID 2264336528, shared by 3 NPIs, 1,381 clinicians
Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr IncGroup PAC ID 4486567104, shared by 12 NPIs, 1,693 clinicians

Practice addresses (Care Compare)

101 Page St
New Bedford, MA 02740-3464
Phone (508) 679-3131

29 Mall Rd
Burlington, MA 01805-0001

330 Brookline Ave
Boston, MA 02215-5400
Phone (617) 667-5398

41 Mall Rd
Burlington, MA 01805-0001

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc CurrentSince Jul 16, 2021 Accepting new patients
Associated Physicians of Harvard Medical Faculty Physicians at Beth Is CurrentSince Mar 1, 2001 Accepting new patients
Lahey Clinic, Inc. CurrentSince Feb 1, 2022 Accepting new patients
Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc Emergency Medicine CurrentSince Mar 1, 2001 Accepting new patients
Bid-Milton Physician Associates Inc CurrentSince Oct 1, 2020 Accepting new patients
Mount Auburn Professional Services Inc Emergency Medicine CurrentSince Oct 1, 2022 Accepting new patients
Steward Emergency Physicians, Inc Emergency Medicine CurrentSince Jul 18, 2011 Accepting new patients
Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc CurrentSince Aug 1, 2025 Accepting new patients
Lahey Clinic, Inc CurrentSince Feb 1, 2022 Accepting new patients
Mt Auburn Professional Services CurrentSince Oct 1, 2022 Accepting new patients
Bid-Milton Physician Associates Inc CurrentSince Oct 1, 2020 Accepting new patients
Beth Israel Deaconess Medical Center, Inc. CurrentSince Aug 4, 2014 Accepting new patients
Beth Israel Deaconess Medical Center, Inc. CurrentSince Aug 4, 2014 Accepting new patients
Associated Physicians of Harvard Medical Faculty Physicians at Beth Is CurrentSince Mar 1, 2001 Accepting new patients

Locations

200 Groton Rd
Ayer, MA 01432
Phone (978) 784-9000

330 Brookline Ave
Boston, MA 02215
Phone (617) 667-2000

1 Deaconess Rd
#2
Boston, MA 02215
Phone (617) 754-2323

41 Mall Rd
Burlington, MA 01805
Phone (781) 744-8400

330 Mount Auburn St
Cambridge, MA 02138
Phone (617) 499-5054

910 Washington St
Dedham, MA 02026
Phone (781) 431-1333

57 Bedford St
Ste 130
Lexington, MA 02420
Phone (781) 484-7500

70 East St
Methuen, MA 01844
Phone (978) 682-1906

199 Reedsdale Rd
Milton, MA 02186
Phone (617) 313-1000

100 Highland St
Milton, MA 02186
Phone (617) 615-4000

101 Page St
New Bedford, MA 02740
Phone (508) 961-5425

49 Harry Kemp Way
Provincetown, MA 02657
Phone (508) 487-9395

100 Walter J Hannon Pkwy
Ste 143
Quincy, MA 02169
Phone (617) 615-4000

88 Washington St
Taunton, MA 02780
Phone (508) 828-7000

1 University Ave
Ste 2B
Westwood, MA 02090
Phone (617) 754-1020

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/86/brand/1/csg/1/fhir/r4
  • Direct secure messaging: lnathanson180645@direct.bilh.masshiway.net

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 3

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": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644969600000",
    "number": "1740220276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 DEACONESS RD",
            "address_2": "W/CC2",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022155321",
            "telephone_number": "617-754-2389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 DEACONESS RD",
            "address_2": "W/CC2",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022155321",
            "telephone_number": "617-754-2389"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "41 Mall Rd",
            "address_purpose": "LOCATION",
            "city": "Burlington",
            "state": "MA",
            "postal_code": "018055321",
            "country_code": "US",
            "telephone_number": "781-744-8000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NATHANSON",
        "first_name": "LARRY",
        "middle_name": "ADAM",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2022-02-16",
        "certification_date": "2022-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MA",
            "license": "158840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.