Active NPI
Geoffrey M. Greenberg, M. D.
- Sleep Medicine (Internal Medicine) Physician
- Yakima, WA
National Provider Identifier
1164522876
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sleep Medicine (Internal Medicine) Physician
- License
- MD17581
- Practice address
- 111 University Pkwy
Suite 100
Yakima, WA 98901-1471 - Phone
- (509) 452-5378
- Fax
- (509) 577-7096
- NPI assigned
- Sep 23, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD17581 | WA | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | MD17581 | WA | |
| Pulmonary Disease Physician | 207RP1001X | MD17581 | WA | |
| Sleep Medicine (Internal Medicine) Physician | 207RS0012X | MD17581 | WA | Primary |
Addresses
Primary practice location
111 University Pkwy
Suite 100
Yakima, WA 98901-1471
Mailing address
111 University Pkwy
Suite 100
Yakima, WA 98901-1471
Phone (509) 452-5378
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1001841 | Medicaid | WA | |
| 61031 | Other | WA | LABOR AND INDUSTRY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Nov 27, 2014 through Nov 27, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD17581 | WA | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yakima Chest Clinic, P.C. | Pulmonary Disease | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Pulmonary Disease Physician
- Yakima, WA
- NPI 1902843998
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158969600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1298073600000",
"number": "1164522876",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 UNIVERSITY PKWY",
"address_2": "SUITE 100",
"city": "YAKIMA",
"state": "WA",
"postal_code": "989011471",
"telephone_number": "509-452-5378",
"fax_number": "509-577-7096"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 UNIVERSITY PKWY",
"address_2": "SUITE 100",
"city": "YAKIMA",
"state": "WA",
"postal_code": "989011471",
"telephone_number": "509-452-5378",
"fax_number": "509-577-7096"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREENBERG",
"first_name": "GEOFFREY",
"middle_name": "M.",
"credential": "M. D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-23",
"last_updated": "2011-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "WA",
"license": "MD17581",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "WA",
"license": "MD17581",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "WA",
"license": "MD17581",
"primary": false
},
{
"code": "207RS0012X",
"taxonomy_group": "",
"desc": "Internal Medicine, Sleep Medicine",
"state": "WA",
"license": "MD17581",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1001841",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LABOR AND INDUSTRY",
"identifier": "61031",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Yakima, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2011; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.