NPIMap

Individual provider Active NPI

Mark S Greenberg, MD

  • Specialist
  • Irving, TX
National Provider Identifier
1033104666
Registry record updated Jul 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
H0399 Issued in TX
Practice address
400 W LBJ Fwy Ste 330
Irving, TX 75063-3717
Phone
(972) 556-2885
Fax
(972) 506-8733
NPI assigned
Sep 20, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X H0399 TX Primary

Addresses

Primary practice location

400 W LBJ Fwy Ste 330
Irving, TX 75063-3717

Mailing address

400 W LBJ Fwy Ste 330
Irving, TX 75063-3717
Phone (972) 556-2885

Other identifiers 2

IdentifierTypeStateIssuer
MDH0399OtherTXWK COMP
89290BOtherTXBCBS OF TX

Other names 1

  • Dr. Mark S Greenberg Professional name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101028000751 TX Practitioner - Orthopedic Surgery 9638080989 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Las Colinas Orthopedic Surgery and Sports Medicine PAGroup PAC ID 0547286304, 17 clinicians

Practice addresses (Care Compare)

400 W LBJ Fwy
Suite 330
Irving, TX 75063-3717
Phone (972) 556-2885

910 E Southlake Blvd
Suite 155
Southlake, TX 76092-6389
Phone (817) 421-5000

Hospital & facility affiliations

  • Abundant Home Health LLC Home health agency, Arlington, TX, CCN 457803
  • Baylor Medical Center at Trophy Club Hospital, Trophy Club, TX, CCN 450883
  • Texas Health Harris Methodist Hospital Southlake Hospital, Southlake, TX, CCN 450888
  • Baylor Surgical Hospital at Las Colinas Hospital, Irving, TX, CCN 450874
  • Baylor Scott & White Medical Center Grapevine Hospital, Grapevine, TX, CCN 450563
  • Baylor Scott & White Institute for Rehabilitation Inpatient rehabilitation facility, Dallas, TX, CCN 453036
  • Baylor Institute for Rehabilitation at Frisco Inpatient rehabilitation facility, Frisco, TX, CCN 673046

Merit-based Incentive Payment System (MIPS)

Final score
86.09 of 100Reported as group
Quality
74.72
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Knee replacement24
Lower limb (leg) arthroscopy (minimally invasive joint repair)13
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

Interoperability endpoints

  • Direct secure messaging: mark.greenberg.1@15749.direct.athenahealth.com

Organizations & group practices 1

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.

Hospital & facility affiliations 8

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": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184544000000",
    "number": "1033104666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 W LBJ FWY STE 330",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750633717",
            "telephone_number": "972-556-2885",
            "fax_number": "972-506-8733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W LBJ FWY STE 330",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750633717",
            "telephone_number": "972-556-2885",
            "fax_number": "972-506-8733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENBERG",
        "first_name": "MARK",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-20",
        "last_updated": "2007-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "H0399",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WK COMP",
            "identifier": "MDH0399",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TX",
            "identifier": "89290B",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARK",
            "last_name": "GREENBERG",
            "middle_name": "S",
            "prefix": "DR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Irving, TX

Sources for this page

Verify at the official NPI Registry.