Active NPI
David S. Greenes, M.D.
- Specialist
- Needham, MA
National Provider Identifier
1124074372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 79518
- Practice address
- 111 Lincoln St
Needham, MA 02492-2900 - Phone
- (781) 444-7186
- Fax
- (781) 449-4617
- NPI assigned
- May 26, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 79518 | MA | Primary |
Addresses
Primary practice location
111 Lincoln St
Needham, MA 02492-2900
Mailing address
75 Ware Rd
Needham, MA 02492-1821
Phone (781) 455-6764
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7264692 | Other | MA | CIGNA |
| 3871474 | Other | MA | AETNA |
| AA12465 | Other | MA | HPHC |
| J17075 | Other | MA | BCBS |
| 079518 | Other | MA | TUFTS |
| 3164403 | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 79518 | MA | MD | Specialist |
Interoperability endpoints
- dgreenes8004@direct.chppoc.masshiway.net
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1124074372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "75 WARE RD",
"city": "NEEDHAM",
"state": "MA",
"postal_code": "024921821",
"telephone_number": "781-455-6764"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 LINCOLN ST",
"city": "NEEDHAM",
"state": "MA",
"postal_code": "024922900",
"telephone_number": "781-444-7186",
"fax_number": "781-449-4617"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREENES",
"first_name": "DAVID",
"middle_name": "S.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-26",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "MA",
"license": "79518",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "7264692",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "3871474",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HPHC",
"identifier": "AA12465",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "J17075",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "079518",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3164403",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Needham, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.