Individual provider Active NPI

Jonathan I Greenfeld, MD

  • Surgery Physician
  • San Antonio, TX
National Provider Identifier
1063490191
Registry record updated Jun 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
27965 Issued in AZ
Practice address
333 N Santa Rosa
San Antonio, TX 78207-3108
Phone
(210) 704-4100
Fax
(480) 412-9401
NPI assigned
Jan 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X U4997 TX
Pediatric Surgery Physician 2086S0120X U4997 TX
Surgery Physician 208600000X 27965 AZ Primary

Addresses

Primary practice location

333 N Santa Rosa
San Antonio, TX 78207-3108

Mailing address

333 N Santa Rosa
San Antonio, TX 78207-3108
Phone (210) 704-4100

Other practice location 1

1432 S Dobson Rd Ste 301
Mesa, AZ 85202-4773
Phone (480) 412-9400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20230713003029 TX Practitioner - General SurgeryPractitioner - Pediatric Medicine 7315042777 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
U4997TXMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Banner Physician Super Specialists Arizona LLC Current Accepting new patients
Baylor College of Medicine CurrentSince Jul 11, 2023 Accepting new patients
Christus Santa Rosa Health Care Corporation Past Accepting new patients
TMC Medical Network PastSince Sep 1, 2018 Accepting new patients
Arizona Pediatric Surgery LTD PastSince Sep 10, 2016 Accepting new patients

Locations

1760 E Florence Blvd
Ste 100
Casa Grande, AZ 85122
Phone (520) 374-6505

5757 W Thunderbird Rd
Ste W406
Glendale, AZ 85306
Phone (480) 464-9400

5310 W Thunderbird Rd
Ste 310
Glendale, AZ 85306
Phone (602) 865-4470

5310 W Thunderbird Rd
Ste 110
Glendale, AZ 85306
Phone (602) 865-4065

1432 S Dobson Rd
Ste 301
Mesa, AZ 85202
Phone (480) 412-7120

1111 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-2000

37100 N Gantzel Rd
Ste 214
San Tan Valley, AZ 85140
Phone (480) 412-9400

37000 N Gantzel Rd
San Tan Valley, AZ 85140
Phone (480) 394-4000

7575 E Earll Dr
Scottsdale, AZ 85251
Phone (480) 448-7500

1 Baylor Plz
#2
Houston, TX 77030

333 N Santa Rosa
San Antonio, TX 78207
Phone (210) 704-2190

11130 Christus Hls
Ste 102
San Antonio, TX 78251
Phone (210) 703-7850

Interoperability endpoints

  • Direct secure messaging: jgreenfeld420728@christushealth.direct-ci.net

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1136764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687996800000",
    "number": "1063490191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 N SANTA ROSA",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782073108",
            "telephone_number": "210-704-4100",
            "fax_number": "480-412-9401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 N SANTA ROSA",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782073108",
            "telephone_number": "210-704-4100",
            "fax_number": "480-412-9401"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1432 S Dobson Rd Ste 301",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852024773",
            "country_code": "US",
            "telephone_number": "480-412-9400",
            "fax_number": "480-412-9401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREENFELD",
        "first_name": "JONATHAN",
        "middle_name": "I",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-09",
        "last_updated": "2023-06-29",
        "certification_date": "2023-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "U4997",
            "primary": false
        },
        {
            "code": "2086S0120X",
            "taxonomy_group": "",
            "desc": "Surgery, Pediatric Surgery",
            "state": "TX",
            "license": "U4997",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AZ",
            "license": "27965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.