NPIMap

Individual provider Active NPI

David M Greenberg

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Durango, CO
National Provider Identifier
1003896408
Registry record updated Apr 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Family Medicine) PhysicianTaxonomy code 207QH0002X
License
2013-0110 Issued in NM
Practice address
274 Iron King
Durango, CO 81301-9417
Phone
(970) 946-9017
NPI assigned
Jan 20, 2006
Last updated
Apr 5, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD22501 OR
Family Medicine Physician 207Q00000X 44207 CO
Hospice and Palliative Medicine (Family Medicine) Physician 207QH0002X 2013-0110 NM Primary

Addresses

Primary practice location

274 Iron King
Durango, CO 81301-9417

Mailing address

274 Iron King
Denver, CO 81301-9417
Phone (970) 946-9017

Other practice location 1

801 W Maple St
Farmington, NM 87401-5630
Phone (505) 609-2000

Other identifiers 5

IdentifierTypeStateIssuer
07150717MedicaidNM
73338079MedicaidCO
44207OtherCOLICENSE
534514YNJOtherCOMEDICARE PTAN
868945MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NM, CO3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20040823001353 TX Practitioner - Family Practice 9133193477 Reassigns benefits to 1 organization
I20140328000863 NM Practitioner - Family PracticePractitioner - Hospice/Palliative Care 9133193477 Reassigns benefits to 5 organizations
I20161018002882 CO Practitioner - Family Practice 9133193477 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Hospice/Palliative Care
Education
University of Vermont College of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cura HealthcareGroup PAC ID 5799143103, 81 clinicians
Co Pacs 2 PCGroup PAC ID 4880943596, 8 clinicians
DHHS PHS Naihs Shiprock HospitalGroup PAC ID 0749193837, 148 clinicians

Practice addresses (Care Compare)

Albuquerque, NM 87110
Phone (505) 413-3719

2911 Junction St
Durango, CO 81301-4134
Phone (970) 247-2215

Highway 491
Shiprock, NM 87420-0160
Phone 50536860016401

P O Box
160 Attn Business Office
Shiprock, NM 87420-0160

PO Box
Suite 160
Shiprock, NM 87420-0160

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.26 of 100Reported as group
Quality
74.27
Improvement activities
40
Cost
78.06

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
44207COMDFamily Medicine Physician
2013-0110NMMDHospice and Palliative Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
CS Pacs 3 West LLC CurrentSince Sep 9, 2024 Accepting new patients
Co Pacs 2 PC CurrentSince Feb 18, 2024 Accepting new patients
Colorado Post-Acute Medical Services 1 PC CurrentSince Sep 1, 2019 Accepting new patients
NM Pacs 2 LLC CurrentSince Jan 23, 2020 Accepting new patients
DHHS, PHS, Naihs, Shiprock Hospital CurrentSince Jul 12, 2004 Accepting new patients
San Juan Regional Medical Center Inc Current Accepting new patients
San Juan Regional Medical Center Inc CurrentSince Jul 29, 2021 Accepting new patients
San Juan Regional Medical Center Inc Family Medicine CurrentSince Jul 29, 2021 Accepting new patients
Valley Citizens' Foundation for Health Care Inc Current Accepting new patients
DHHS, PHS, Naihs, Shiprock Hospital Current Accepting new patients
New Mexico Pac Services PC CurrentSince Sep 1, 2019 Accepting new patients
CS Pacs 3 Northwest, LLC CurrentSince Dec 21, 2024 Accepting new patients
Aztec Healthcare LLC Past Accepting new patients
Deming Hospital Corporation Past Accepting new patients
DHHS, PHS, Naihs, Shiprock Hospital Past Accepting new patients
Diamond Care Santa Fe LLC Past Accepting new patients
803 Hacienda Lane Operations LLC Past Accepting new patients
Innovation Medical Group PC Family Medicine Past Accepting new patients
Mission Arch Operator LLC Past Accepting new patients
Gallup Nursing & Rehabilitation LLC Past Accepting new patients
3720 Church Rock Street Operations LLC Past Accepting new patients
St. John Healthcare and Rehabilitation Center, LLC Past Accepting new patients
Chimney Rock Healthcare, Inc. PastSince Sep 1, 2024 Accepting new patients
U Family Health Billing University of Utah Family Medicine Past Accepting new patients
Los Alamos Wellness & Rehabilitation LLC Past Accepting new patients
St. Theresa Healthcare and Rehabilitation Center, LLC Past Accepting new patients
Farmington Operations LLC Past Accepting new patients
Luna Wellness & Rehabilitation LLC PastSince Apr 1, 2025 Accepting new patients
La Vida Buena Healthcare LLC Past Accepting new patients
Peak Medical Roswell, LLC Past Accepting new patients

Locations

310 County Road 14
Del Norte, CO 81132
Phone (719) 657-2510

2911 Junction St
Durango, CO 81301
Phone (970) 247-2215

2911 Junction St
#Four
Durango, CO 81301
Phone (970) 247-2215

501 E Hampden Ave
Englewood, CO 80113
Phone (303) 788-5300

1500 W Mineral Ave
Littleton, CO 80120
Phone (303) 450-2700

150 Spring St
Morrison, CO 80465
Phone (303) 697-8181

10101 Lagrima de Oro Rd NE
Albuquerque, NM 87111
Phone (505) 298-1231

5123 Juan Tabo Blvd NE
Albuquerque, NM 87111
Phone (505) 292-3333

7208 Jefferson St NE
Albuquerque, NM 87109
Phone (505) 821-1200

7900 Constitution Ave NE
Albuquerque, NM 87110
Phone (505) 296-5565

1831 Camino del Llano
Belen, NM 87002
Phone (505) 864-1600

6 Road 7586
Bloomfield, NM 87413
Phone (505) 368-8015

803 Hacienda Ln
Bloomfield, NM 87413
Phone (505) 321-1823

4820 E Main St
Ste 2
Farmington, NM 87402
Phone (505) 609-6610

801 W Maple St
Farmington, NM 87401
Phone (505) 325-5011

3025 Terrace Dr
Las Cruces, NM 88011
Phone (575) 522-1362

Interoperability endpoints

  • FHIR API: https://fhir.yourcareuniverse.net/tenant/8e208ec0-3c40-457e-92b1-d5bc8bed18c3

Ownership & related parties

All facility ownership & control disclosures 11

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Sandia Ridge CenterAlbuquerque, NM, CCN 325032 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jun 1, 2024
Feb 16, 2025
Uptown Rehabilitation CenterAlbuquerque, NM, CCN 325042 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jun 1, 2024
Feb 22, 2025
Red Rocks Care CenterGallup, NM, CCN 325070 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jun 1, 2024
Feb 1, 2025
Bloomfield Nursing and RehabBloomfield, NM, CCN 325066 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jun 1, 2024
Jan 29, 2025
Aztec HealthcareAztec, NM, CCN 325071 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Mar 20, 2025
Mar 20, 2025
Farmington Operations LLCFarmington, NM, CCN 325113 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Mar 31, 2023
Mar 31, 2023
Gallup Nursing & RehabilitationGallup, NM, CCN 325118 Skilled nursing facility Adp of the SNF Mar 19, 2025
La Vida Buena HealthcareLas Vegas, NM, CCN 325065 Skilled nursing facility Adp of the SNF Aug 23, 2024
Los Alamos Wellness & RehabilitationLos Alamos, NM, CCN 325056 Skilled nursing facility Adp of the SNF Jan 1, 2024
Durango Health and RehabilitationDurango, CO, CCN 065243 Skilled nursing facility Operational/Managerial Control
Managing Control - Governing Body
Adp of the SNF		 Sep 1, 2024
Sep 1, 2024
Sep 1, 2024
Luna Wellness & Rehabilitation LLCDeming, NM, CCN 325079 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Apr 1, 2025
Apr 1, 2025

Owned or controlled facilities with NPI records 11

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 33

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.

View all 33

Hospital & facility affiliations 22

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

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1137715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680652800000",
    "number": "1003896408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "274 IRON KING",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "813019417",
            "telephone_number": "970-946-9017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "274 IRON KING",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813019417",
            "telephone_number": "970-946-9017"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "801 W Maple St",
            "address_purpose": "LOCATION",
            "city": "Farmington",
            "state": "NM",
            "postal_code": "874015630",
            "country_code": "US",
            "telephone_number": "505-609-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREENBERG",
        "first_name": "DAVID",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-20",
        "last_updated": "2023-04-05",
        "certification_date": "2023-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "MD22501",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "44207",
            "primary": false
        },
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "NM",
            "license": "2013-0110",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07150717",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "73338079",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "44207",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "534514YNJ",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "868945",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Durango, CO

Sources for this page

Verify at the official NPI Registry.