Active NPI
Jonathan I Greenfeld, MD
- Surgery Physician
- San Antonio, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 27965
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| U4997 | TX | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Banner Physician Super Specialists Arizona LLC | Current | Accepting new patients | |
| Baylor College of Medicine | Current | Accepting new patients | |
| Christus Santa Rosa Health Care Corporation | Past | Accepting new patients | |
| TMC Medical Network | Past | Accepting new patients | |
| Arizona Pediatric Surgery LTD | Past | 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
- 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.
-
dba BCM Physicians of San Antonio
- Pediatrics Physician
- San Antonio, TX
- NPI 1285079764
-
- Multi-Specialty Clinic/Center
- Phoenix, AZ
- NPI 1841573870
-
dba Childrens Hospital of San Antonio
- Children's Hospital
- San Antonio, TX
- NPI 1821004151
-
- Specialist
- Tucson, AZ
- NPI 1720111396
-
- Multi-Specialty Clinic/Center
- Tucson, AZ
- NPI 1750832283
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2023; 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.