Individual provider Active NPI

Andrew Steven Greenberg, M.D.

  • Internal Medicine Physician
  • Fort Pierce, FL
National Provider Identifier
1093745945
Registry record updated Mar 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME100693 Issued in FL
Practice address
12098 Orange Ave
Fort Pierce, FL 34945-2024
Phone
(727) 900-1326
NPI assigned
Jul 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME100693 FL Primary

Addresses

Primary practice location

12098 Orange Ave
Fort Pierce, FL 34945-2024

Mailing address

12098 Orange Ave
Fort Pierce, FL 34945-2024
Phone (727) 900-1326

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
I20080429000754 FL Practitioner - Internal MedicinePractitioner - Family Practice 0446339659 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Andrew Greenberg MD PA Internal Medicine CurrentSince Jul 10, 2011 Accepting new patients
Harbor Hospitalists LLC Past Accepting new patients
Pandya King Group PA Internal Medicine Past Accepting new patients
National Medical Affiliates Inc Internal Medicine Past Accepting new patients

Locations

4707 Oleander Ave
Fort Pierce, FL 34982
Phone (631) 827-7415

5081 NW Dunn Rd
Fort Pierce, FL 34981
Phone (772) 464-0728

8300 Collier Blvd
Naples, FL 34114
Phone (239) 354-6000

4200 Sun N Lake Blvd
Sebring, FL 33872
Phone (863) 314-4406

725 S Pine St
Sebring, FL 33870
Phone (863) 385-0161

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741392000000",
    "number": "1093745945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12098 ORANGE AVE",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349452024",
            "telephone_number": "727-900-1326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12098 ORANGE AVE",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349452024",
            "telephone_number": "727-900-1326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENBERG",
        "first_name": "ANDREW",
        "middle_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-04",
        "last_updated": "2025-03-08",
        "certification_date": "2025-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME100693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Pierce, FL

Sources for this page

Verify at the official NPI Registry.