Mitchell Alan Greenbaum, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

N004558 Issued in NY

Practice address

525 Woodbury Rd
Plainview, NY 11803-1004

Phone

(516) 433-3353

Fax

(516) 433-8662

NPI assigned

Dec 9, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

New York College of Podiatric Medicine, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mitchell Greenbaum DPM PCGroup PAC ID 2466658687, 2 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678

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.

• Mitchell Greenbaum, DPM, PC

  • Foot Surgery Podiatrist
  • Plainview, NY
  • NPI 1851577928
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1134086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370908800000",
    "number": "1104801448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 WOODBURY RD",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "118031004",
            "telephone_number": "516-433-3353",
            "fax_number": "516-433-8662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 WOODBURY RD",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "118031004",
            "telephone_number": "516-433-3353",
            "fax_number": "516-433-8662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENBAUM",
        "first_name": "MITCHELL",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-09",
        "last_updated": "2013-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N004558",
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NY",
            "license": "N004558",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01431176",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dawn Lori Grabois, M.S.,CCC-SLP
• Christopher David Grabowski, PT
• Paul Grappell, M.D.
• Evan Green, D.O.
• Sierra Green
• Susan Greenbaum, RN
• Hali Greenberg, L.C.S.W.
• Elaine K Greenwald, PHD
• Amanda Coyne Gregg
• Daniel Griffin, M.D.

• Podiatrist in Plainview, NY
• Providers in Plainview, NY by specialty
• Podiatrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2013; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.