Individual provider Active NPI

Jonathan David Greifenkamp, MD

  • Cardiovascular Disease Physician
  • Longview, TX
National Provider Identifier
1235333808
Registry record updated Nov 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
L6919 Issued in TX
Practice address
709 Hollybrook Dr
Suite 2301
Longview, TX 75605-2411
Phone
(903) 757-4691
NPI assigned
Jun 14, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X L6919 TX Primary

Addresses

Primary practice location

709 Hollybrook Dr
Suite 2301
Longview, TX 75605-2411

Mailing address

PO Box 19036
Belfast, ME 04915-4085
Phone (903) 381-7263

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jonathan.greifenkamp.1@16432.direct.athenahealth.com

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080711000144 TX Practitioner - Cardiovascular Disease (Cardiology) 1052483757 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
University of Texas Medical Branch at Galveston, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regional Clinics of LongviewGroup PAC ID 7214016559, 38 clinicians

Practice addresses (Care Compare)

709 Hollybrook Dr
Suite 2301
Longview, TX 75605-2412
Phone (903) 757-4691

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.53 of 100Reported as apm
Quality
79.07
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting93
Varicose vein removal135
Leg revascularization (restoring blood flow)37

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Clinics of Longview Cardiovascular Disease CurrentSince Mar 5, 2012 Accepting new patients

Locations

805 Medical Cir
Longview, TX 75605
Phone (903) 232-8100

701 E Marshall Ave
Ste 300
Longview, TX 75601
Phone (903) 315-2730

709 Hollybrook Dr
Ste 2301
Longview, TX 75605
Phone (903) 757-4691

1009 N 4th St
Ste A
Longview, TX 75601
Phone (903) 757-3808

Interoperability endpoints

  • Direct secure messaging: jonathan.greifenkamp.1@16432.direct.athenahealth.com

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.

Hospital & facility affiliations 4

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": "1181779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636416000000",
    "number": "1235333808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19036",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049154085",
            "telephone_number": "903-381-7263",
            "fax_number": "903-381-7269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "709 HOLLYBROOK DR",
            "address_2": "SUITE 2301",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756052411",
            "telephone_number": "903-757-4691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREIFENKAMP",
        "first_name": "JONATHAN",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-14",
        "last_updated": "2021-11-09",
        "certification_date": "2021-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "L6919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jonathan.greifenkamp.1@16432.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "direct address",
            "address_1": "709 Hollybrook Dr",
            "address_2": "Suite 2301",
            "city": "Longview",
            "state": "TX",
            "country_code": "US",
            "postal_code": "756052411",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Longview, TX

Sources for this page

Verify at the official NPI Registry.