Mark Louis Greenberg, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

R7G09 Issued in MO

Practice address

585 Twin Fawns Dr
Frontenac, MO 63131-4717

Phone

(602) 561-0367

NPI assigned

Jul 21, 2005

Last updated

Apr 20, 2026By 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 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: drgreenberg@mvpkidscare.opdirect.net
• Direct secure messaging: mgreenberg3377098@oc.providencedirect.org

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.

• Siskiyou Hospital, Inc.

  dba Fairchild Medical Center

  • Critical Access Hospital
  • Yreka, CA
  • NPI 1093892275
  Medicare reassignment NPD
• Family Care Health Centers

  • Federally Qualified Health Center (FQHC)
  • Saint Louis, MO
  • NPI 1023285624
  NPD
• Family Care Health Centers

  • Federally Qualified Health Center (FQHC)
  • Saint Louis, MO
  • NPI 1508867508
  NPD
• SSM Health Care St. Louis

  dba SSM Health St. Mary's Hospital - St. Louis

  • General Acute Care Hospital
  • Saint Louis, MO
  • NPI 1962572396
  NPD (past)
• Franciscan Health Crown Point

  dba Franciscan Outpatient Pharmacy Crown Point

  • Community/Retail Pharmacy
  • Crown Point, IN
  • NPI 1184250623
  NPD (past)
• JJ Pediatrics, P.L.L.C.

  • Pediatrics Physician
  • Queen Creek, AZ
  • NPI 1437377439
  NPD (past)
• Maryvale Pediatric Clinic

  dba MVP Kids Care

  • Pediatrics Physician
  • Phoenix, AZ
  • NPI 1366605529
  NPD (past)
• North Scottsdale Pediatric Associates

  • Pediatrics Physician
  • Scottsdale, AZ
  • NPI 1275797235
  NPD (past)
• Pleasant Pediatrics PLC

  • Pediatrics Physician
  • Peoria, AZ
  • NPI 1477742807
  NPD (past)
• Pleasant Pediatrics PLC

  dba Pleasant Pediatrics

  • Pediatrics Physician
  • Peoria, AZ
  • NPI 1790025591
  NPD (past)

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

{
    "created_epoch": "1121904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776643200000",
    "number": "1043219967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "585 TWIN FAWNS DR",
            "city": "FRONTENAC",
            "state": "MO",
            "postal_code": "631314717",
            "telephone_number": "602-561-0367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "585 TWIN FAWNS DR",
            "city": "FRONTENAC",
            "state": "MO",
            "postal_code": "631314717",
            "telephone_number": "602-561-0367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENBERG",
        "first_name": "MARK",
        "middle_name": "LOUIS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-21",
        "last_updated": "2026-04-20",
        "certification_date": "2026-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AZ",
            "license": "21921",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MO",
            "license": "R7G09",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donald Respess, PSYD, LLC
• Ashley Kell Frederic, FNP-BC
• Frontenac Ambulatory Surgery & Spine Care Center LP (Frontenac Surgery & Spine Care Center)
• Gateway Pain Center Inc (Injury Specialists)
• Darcy Greenberg
• Danielle Marie Hargate, ATC
• Ellie Huff, RD, LD, CSCS
• Gerald Louis Keller Jr., CRNFA
• Jennifer Kraemer, DPT
• Evan Kuhl, PT, DPT, XPS, USAW-1

• Pediatrics Physician in Frontenac, MO
• Providers in Frontenac, MO by specialty
• Pediatrics Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2026; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.