Greg A Greenberg, MD

Primary specialty

Hospitalist PhysicianTaxonomy code 208M00000X

License

A86727 Issued in CA

Practice address

1100 Butte St
Redding, CA 96001-0852

Phone

(530) 227-6361

Fax

(530) 229-3703

NPI assigned

Aug 8, 2006

Last updated

May 28, 2019By 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 5

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA, TX2 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

Specialty

Family Practice

Education

Ohio State University College of Medicine, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Revive PathwayGroup PAC ID 4284081639, 12 clinicians

North Pacific Cardiology MedicalGroup PAC ID 8426113341, 21 clinicians

Puyallup Tribal Opioid Clinic IncGroup PAC ID 4486096377, 10 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mad River Community Hospital Hospital, Arcata, CA, CCN 050028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/f17aed19-e2f6-49d4-bba0-64508a2357d2/

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.

• North Pacific Cardiology Medical

  • Internal Medicine Physician
  • Arcata, CA
  • NPI 1093821837
  Medicare reassignment Care Compare group NPD
• Revive Pathway

  • Substance Use Disorder Rehabilitation Clinic/Center
  • El Cajon, CA
  • NPI 1962117440

  TX

  Medicare reassignment Care Compare group NPD
• Puyallup Tribal Opioid Clinic, Inc.

  dba Cedar Wellness Center

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Tacoma, WA
  • NPI 1992582613

  TX

  Medicare reassignment Care Compare group NPD
• Cep America - California

  dba Vituity

  • Emergency Medicine Physician
  • San Francisco, CA
  • NPI 1023063542
  Medicare reassignment NPD
• Mount Eddy Emergency Physicians Medical Group, Inc.

  • Emergency Medicine Physician
  • Mount Shasta, CA
  • NPI 1316299787
  Medicare reassignment NPD
• North State Hospitalist Medical Group, Inc

  • Hospitalist Physician
  • Mount Shasta, CA
  • NPI 1598305682

  Emergency Medicine

  Medicare reassignment NPD
• Siskiyou Hospital, Inc.

  dba Fairchild Medical Center

  • Critical Access Hospital
  • Yreka, CA
  • NPI 1093892275
  Medicare reassignment NPD
• Vituity Hospitalists PC

  • Hospitalist Physician
  • Redding, CA
  • NPI 1730666108

  Internal Medicine

  Medicare reassignment NPD
• Cowlitz Indian Tribe

  • Clinic/Center
  • Longview, WA
  • NPI 1740562909

  TX

  Medicare reassignment NPD
• Clear Creek Medical Corp

  • Addiction Medicine (Family Medicine) Physician
  • Redding, CA
  • NPI 1629583018
  Authorized official Same address or phone
• Cep America - California

  dba Vituity

  • Emergency Medicine Physician
  • Red Bluff, CA
  • NPI 1548332307
  NPD
• Cep America-California

  • Emergency Medicine Physician
  • Murrieta, CA
  • NPI 1588552848
  NPD

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

• American Hospital Management Corporation

  dba Mad River Community Hospital

  • General Acute Care Hospital
  • Arcata, CA
  • NPI 1518996040
  Care Compare affiliation

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559001600000",
    "number": "1013927441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "738 SUNRIVER LN",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960010166",
            "telephone_number": "530-227-6361",
            "fax_number": "530-229-3703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 BUTTE ST",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960010852",
            "telephone_number": "530-227-6361",
            "fax_number": "530-229-3703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENBERG",
        "first_name": "GREG",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-08",
        "last_updated": "2019-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A86727",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A86727",
            "primary": false
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "CA",
            "license": "A86727",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A86727",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CA",
            "license": "A86727",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A867270",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dwayne Anthony Green
• Jeffrey Todd Green
• Joshua E Green, PT, MA
• Kaitlyn Marie Green, LCSW
• Mary E Green
• Paige Greene, LCSW
• Wendy Greene
• William Ryan Greenhood
• David Greentree, MD
• Greenville Rancheria

• Hospitalist Physician in Redding, CA
• Providers in Redding, CA by specialty
• Hospitalist Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2019; 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.