Individual provider Active NPI

Stephen Saxe Greenspan, M.D.

  • Internal Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1255366845
Registry record updated Mar 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D68252 Issued in MD
Practice address
6315-17 Woodland Ave
Philadelphia, PA 19142
Phone
(215) 726-1870
Fax
(215) 726-5970
NPI assigned
Jul 11, 2006
Last updated
Mar 9, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD050204L PA
Internal Medicine Physician 207R00000X D68252 MD Primary

Addresses

Primary practice location

6315-17 Woodland Ave
Philadelphia, PA 19142

Mailing address

110 Baughmans LN Ste 270
Frederick, MD 21702-4650
Phone (301) 846-0900

Other identifiers 1

IdentifierTypeStateIssuer
MD050204LOtherPAPA STATE LICENSE #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20090713000056 MD Practitioner - Internal Medicine 7719039395 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Jefferson Medical College of Thomas Jefferson University, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

4 W Rolling Cross Rd
Catonsville, MD 21228-6280
Phone (410) 368-1370

4 W Rolling Crossroads
Suite 100
Catonsville, MD 21228-6280
Phone (410) 869-0100

410 Malcolm Dr
Suite a
Westminster, MD 21157-6160
Phone (410) 876-7772

8871 Gorman Rd
Laurel, MD 20723-5877
Phone (301) 498-3150

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD050204LPAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lifebridge Community Physicians, Inc Current Accepting new patients
Lifebridge Community Physicians, Inc CurrentSince Aug 2, 2017 Accepting new patients
Lifebridge Community Physicians Inc CurrentSince Aug 2, 2017 Accepting new patients
Baltimore Suburban Health, LLC Internal Medicine Past Accepting new patients
Medstar Physician Partners, Inc Internal Medicine Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

110 Baughmans Ln
Ste 270
Frederick, MD 21702
Phone (301) 846-0300

8871 Gorman Rd
Laurel, MD 20723
Phone (301) 498-3150

8871 Gorman Rd
Ste 300
Laurel, MD 20723
Phone (301) 498-3150

4000 Old Court Rd
Ste 301
Pikesville, MD 21208
Phone (410) 235-2345

410 Malcolm Dr
Ste A
Westminster, MD 21157
Phone (410) 876-1633

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14466/brand/1/csg/1/fhir/r4

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646784000000",
    "number": "1255366845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 BAUGHMANS LN STE 270",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024650",
            "telephone_number": "301-846-0900",
            "fax_number": "410-601-4938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6315-17 WOODLAND AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19142",
            "telephone_number": "215-726-1870",
            "fax_number": "215-726-5970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENSPAN",
        "first_name": "STEPHEN",
        "middle_name": "SAXE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2022-03-09",
        "certification_date": "2022-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD050204L",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D68252",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA STATE LICENSE #",
            "identifier": "MD050204L",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.