Individual provider Active NPI

Gregory Adrian Greenberg, AGCNS-BC

  • Clinical Nurse Specialist
  • Austin, TX
National Provider Identifier
1083267702
Registry record updated Jul 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Nurse SpecialistTaxonomy code 364S00000X
License
AP142303 Issued in TX
Practice address
1301 W 38TH St Ste 403
Austin, TX 78705-1013
Phone
(512) 593-7902
NPI assigned
Jul 22, 2019
Last updated
Jul 22, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Nurse Specialist 364S00000X AP142303 TX Primary

Addresses

Primary practice location

1301 W 38TH St Ste 403
Austin, TX 78705-1013

Mailing address

1408 Coleto St
Austin, TX 78702
Phone (610) 716-9159

Other identifiers 1

IdentifierTypeStateIssuer
AP142303OtherTXTEXAS STATE BOARD OF NURSING

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190918001099 TX Practitioner - Certified Clinical Nurse Specialist (CNS) 1254661291 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Clinical Nurse Specialist (CNS)
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Austin Infectious Disease Consultants, PA 080191Group PAC ID 9436155264, 11 clinicians

Practice addresses (Care Compare)

1301 W 38TH St
Suite 403
Austin, TX 78705-1013
Phone (512) 459-0301

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
65.42 of 100Reported as group
Quality
48
Improvement activities
20
Cost
87.39

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Specialist, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP142303TXMDClinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Austin Infectious Disease Consultants, PA 080191 CurrentSince Jul 27, 2019 Accepting new patients

Locations

1301 W 38th St
Ste 403
Austin, TX 78705
Phone (512) 459-0301

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1563753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563753600000",
    "number": "1083267702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1408 COLETO ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78702",
            "telephone_number": "610-716-9159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 W 38TH ST STE 403",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787051013",
            "telephone_number": "512-593-7902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENBERG",
        "first_name": "GREGORY",
        "middle_name": "ADRIAN",
        "credential": "AGCNS-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-22",
        "last_updated": "2019-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364S00000X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist",
            "state": "TX",
            "license": "AP142303",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS STATE BOARD OF NURSING",
            "identifier": "AP142303",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.