Individual provider Active NPI

David Greene, M.D.

  • Otolaryngology Physician
  • Naples, FL
National Provider Identifier
1043262389
Registry record updated Jun 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
FLME0078059 Issued in FL
Practice address
1112 Goodlette Rd N Ste 203
Naples, FL 34102-5499
Phone
(239) 263-8444
Fax
(239) 263-6120
NPI assigned
May 16, 2006
Last updated
Jun 9, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X FLME0078059 FL Primary

Addresses

Primary practice location

1112 Goodlette Rd N Ste 203
Naples, FL 34102-5499

Mailing address

1000 Goodlette Rd N
Suite 200
Naples, FL 34102-5474
Phone (239) 434-6200

Other identifiers 1

IdentifierTypeStateIssuer
ME78059OtherFLFLORIDA DEPARTMENT OF HEALTH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20060808000315 FL Practitioner - Otolaryngology 5092718296 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Yale University School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1112 Goodlette Rd
Suite 203
Naples, FL 34102-5499
Phone (239) 263-8444

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
FLME0078059FLMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
David Greene MD LLC CurrentSince Aug 11, 2011 Accepting new patients
Brett E. Stanaland, M.D., P.a. PastSince Aug 15, 2016 Accepting new patients

Locations

1000 Goodlette Rd
Ste 200
Naples, FL 34102
Phone (239) 434-6200

1112 Goodlette Rd
Ste 203
Naples, FL 34102
Phone (239) 263-8444

2430 Vanderbilt Beach Rd
Ste 108
Naples, FL 34109
Phone (239) 287-6624

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 2

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.

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": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591660800000",
    "number": "1043262389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 GOODLETTE RD N",
            "address_2": "SUITE 200",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341025474",
            "telephone_number": "239-434-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1112 GOODLETTE RD N STE 203",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341025499",
            "telephone_number": "239-263-8444",
            "fax_number": "239-263-6120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENE",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2020-06-09",
        "certification_date": "2020-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "FL",
            "license": "FLME0078059",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA DEPARTMENT OF HEALTH",
            "identifier": "ME78059",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.