Individual provider Active NPI

Adam Seth Greenblatt, MD

  • Epilepsy Physician
  • Saint Louis, MO
National Provider Identifier
1336598226
Registry record updated Apr 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Epilepsy PhysicianTaxonomy code 2084E0001X
License
2022015056 Issued in MO
Practice address
4921 Parkview PL
Div Neurology Epilepsy, Ste 6C
Saint Louis, MO 63110-1032
Phone
(314) 362-1408
Fax
(314) 362-0296
NPI assigned
Jun 10, 2016
Last updated
Apr 17, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 2022015056 MO
Epilepsy Physician 2084E0001X 2022015056 MO Primary

Addresses

Primary practice location

4921 Parkview PL
Div Neurology Epilepsy, Ste 6C
Saint Louis, MO 63110-1032

Mailing address

PO Box 7412011
Chicago, IL 60674-2011
Phone (314) 362-1408

Other identifiers 1

IdentifierTypeStateIssuer
200110650MedicaidMO

Electronic endpoints 1

TypeEndpointUseAffiliation
FHIR URL https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Washington University

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, MO2 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
I20220328000415 PA Practitioner - Neurology 6305126731 Reassigns benefits to 2 organizations
I20220629000380 MO Practitioner - Neurology 6305126731 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Washington UniversityGroup PAC ID 9830008770, 2,968 clinicians

Practice addresses (Care Compare)

4921 Parkview PL
Suite 6C
Saint Louis, MO 63110-1032
Phone (314) 362-1408

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2022015056MOMDEpilepsy Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Einstein Practice Plan, Inc. Current Accepting new patients
DLP Conemaugh Physician Practices LLC Internal Medicine CurrentSince Apr 11, 2022 Accepting new patients
Washington University CurrentSince Jul 1, 2022 Accepting new patients
Einstein Practice Plan Inc CurrentSince Dec 16, 2021 Accepting new patients
DLP Conemaugh Physician Practices LLC CurrentSince Apr 11, 2022 Accepting new patients
Einstein Practice Plan Inc Current Accepting new patients
Einstein Practice Plan, Inc. Neurology CurrentSince Dec 16, 2021 Accepting new patients
DLP Conemaugh Physician Practices LLC Current Accepting new patients
Washington University CurrentSince Jul 1, 2022 Accepting new patients
Barnes Jewish Hospital Past Accepting new patients
Washington University Past Accepting new patients

Locations

1 Barnes Hospital Plz
Saint Louis, MO 63110
Phone (314) 362-9170

1600 S Brentwood Blvd
Ste 600
Saint Louis, MO 63144
Phone (314) 362-4342

4455 Duncan Ave
Saint Louis, MO 63110
Phone (314) 658-3800

4921 Parkview Pl
Ste 6C
Saint Louis, MO 63110
Phone (314) 362-6981

660 S Euclid Ave
#8111
Saint Louis, MO 63110
Phone (314) 362-3281

660 S Euclid Ave
Stop 8221871800
Saint Louis, MO 63110

1086 Franklin St
Johnstown, PA 15905
Phone (610) 250-4540

1111 Franklin St
Ste 180
Johnstown, PA 15905
Phone (814) 534-3740

1450 Scalp Ave
Ste 2100
Johnstown, PA 15904
Phone (814) 269-5211

5401 Old York Rd
#A
Phila, PA 19141

101 E Olney Ave
Ste 400
Philadelphia, PA 19120
Phone (215) 254-2630

5501 Old York Rd
Ste 3
Philadelphia, PA 19141
Phone (215) 456-7180

Interoperability endpoints

  • FHIR API: https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

Organizations & group practices 11

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 1

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": "1465516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744848000000",
    "number": "1336598226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7412011",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606742011",
            "telephone_number": "314-362-1408",
            "fax_number": "314-362-0296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4921 PARKVIEW PL",
            "address_2": "DIV NEUROLOGY EPILEPSY, STE 6C",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631101032",
            "telephone_number": "314-362-1408",
            "fax_number": "314-362-0296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENBLATT",
        "first_name": "ADAM",
        "middle_name": "SETH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-10",
        "last_updated": "2025-04-17",
        "certification_date": "2022-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MO",
            "license": "2022015056",
            "primary": false
        },
        {
            "code": "2084E0001X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Epilepsy",
            "state": "MO",
            "license": "2022015056",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200110650",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "Y",
            "affiliationName": "Washington University",
            "address_1": "4921 Parkview Pl",
            "address_2": "Div Neurology Epilepsy, Ste 6C",
            "city": "Saint Louis",
            "state": "MO",
            "country_code": "US",
            "postal_code": "631101032",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.