NPIMap

Individual provider Active NPI

Mitchell Miles Greenspan, MD

  • Cardiovascular Disease Physician
  • Sellersville, PA
National Provider Identifier
1275533218
Registry record updated May 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MD016431E Issued in PA
Practice address
3 Life Mark Dr
Sellersville, PA 18960-1598
Phone
(215) 257-1127
Fax
(215) 257-0129
NPI assigned
Jul 29, 2005
Last updated
May 21, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 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 MD016431E PA Primary

Addresses

Primary practice location

3 Life Mark Dr
Sellersville, PA 18960-1598

Mailing address

3 Life Mark Dr
Sellersville, PA 18960-1598
Phone (215) 257-1127

Other identifiers 2

IdentifierTypeStateIssuer
0009485220002MedicaidPA
GR153711OtherPABLUE SHIELD

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Mitchell.Greenspan@buxmontcardiology.directbygreenway.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100311001036 PA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 4284612268 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Jefferson Medical College of Thomas Jefferson University, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Lukes Physician Group IncGroup PAC ID 6709798333, 2,161 clinicians
Grand View HospitalGroup PAC ID 8022001924, 94 clinicians

Practice addresses (Care Compare)

1021 Park Ave
Quakertown, PA 18951-0130

1532 Park Ave
Quakertown, PA 18951-1048

3 Life Mark Dr
Sellersville, PA 18960-1598
Phone (484) 503-4500

3000 St Lukes Dr
Quakertown, PA 18951-1696
Phone (484) 526-3950

700 Lawn Ave
Sellersville, PA 18960-1548
Phone (484) 822-5700

801 Ostrm St
Bethlehem, PA 18015-1000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD016431EPAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Grand View Hospital Cardiovascular Disease CurrentSince Sep 16, 2023 Accepting new patients
St Luke's Physician Group Inc CurrentSince Jan 1, 2026 Accepting new patients
St Luke's Physician Group Inc CurrentSince Jan 1, 2026 Accepting new patients
St. Luke's Physician Group, Inc. Past Accepting new patients
Buxmont Cardiology Associates Cardiovascular Disease PastSince Jul 1, 1981 Accepting new patients
Grand View Hospital Past Accepting new patients

Locations

3 Life Mark Dr
Sellersville, PA 18960
Phone (215) 257-1127

700 Lawn Ave
Sellersville, PA 18960
Phone (215) 453-4000

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71185
  • Direct secure messaging: mgreenspan350752@direct-sluhn.org
  • Direct secure messaging: mitchell.greenspan@buxmontcardiology.directbygreenway.com

Organizations & group practices 7

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.

Hospital & facility affiliations 10

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": "1122595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621555200000",
    "number": "1275533218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 LIFE MARK DR",
            "city": "SELLERSVILLE",
            "state": "PA",
            "postal_code": "189601598",
            "telephone_number": "215-257-1127",
            "fax_number": "215-257-0129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 LIFE MARK DR",
            "city": "SELLERSVILLE",
            "state": "PA",
            "postal_code": "189601598",
            "telephone_number": "215-257-1127",
            "fax_number": "215-257-0129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENSPAN",
        "first_name": "MITCHELL",
        "middle_name": "MILES",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-29",
        "last_updated": "2021-05-21",
        "certification_date": "2021-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PA",
            "license": "MD016431E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0009485220002",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "GR153711",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Mitchell.Greenspan@buxmontcardiology.directbygreenway.com",
            "affiliation": "N",
            "endpointDescription": "Mitchell Greenspan",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "XML",
            "address_1": "3 Life Mark Dr",
            "city": "Sellersville",
            "state": "PA",
            "country_code": "US",
            "postal_code": "189601598",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sellersville, PA

Sources for this page

Verify at the official NPI Registry.