Individual provider Active NPI

Michael David Greenwood, M.D.

  • Ophthalmology Physician
  • West Fargo, ND
National Provider Identifier
1306124599
Registry record updated May 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
14114 Issued in ND
Practice address
354 23Rd Ave E
West Fargo, ND 58078-7820
Phone
(701) 566-5390
Fax
(605) 371-7199
NPI assigned
Jul 22, 2011
Last updated
May 21, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 14114 ND Primary

Addresses

Primary practice location

354 23Rd Ave E
West Fargo, ND 58078-7820

Mailing address

3101 W 57TH St
Sioux Falls, SD 57108-3162
Phone (605) 361-3937

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND, MN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160811001047 ND Practitioner - Ophthalmology 3274845870 Reassigns benefits to 1 organization
I20200414001356 MN Practitioner - Ophthalmology 3274845870 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of North Dakota School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

354 23Rd Ave E
West Fargo, ND 58078-7820
Phone (701) 566-5390

Merit-based Incentive Payment System (MIPS)

Final score
88.83 of 100Reported as group
Quality
93.82
Promoting interoperability
97
Improvement activities
40
Cost
71.43

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1582

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
14114NDMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alexandria Eye Clinic P.a. CurrentSince Apr 1, 2020 Accepting new patients
Vance Thompson Vision Sioux City, Prof LLC Ophthalmology PastSince Jan 1, 2021 Accepting new patients
Convenient Care Clinic, PLLC PastSince May 2, 2023 Accepting new patients

Locations

2600 Jefferson St
Ste 200
Alexandria, MN 56308
Phone (320) 335-0953

3101 W 57th St
Sioux Falls, SD 57108
Phone (605) 361-3937

Organizations & group practices 5

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": "1311292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716249600000",
    "number": "1306124599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3101 W 57TH ST",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571083162",
            "telephone_number": "605-361-3937",
            "fax_number": "605-371-7199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "354 23RD AVE E",
            "city": "WEST FARGO",
            "state": "ND",
            "postal_code": "580787820",
            "telephone_number": "701-566-5390",
            "fax_number": "605-371-7199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENWOOD",
        "first_name": "MICHAEL",
        "middle_name": "DAVID",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-22",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "ND",
            "license": "14114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Fargo, ND

Sources for this page

Verify at the official NPI Registry.