Individual provider Active NPI

Barbara A Greco, MD

  • Nephrology Physician
  • Springfield, MA
National Provider Identifier
1366428682
Registry record updated Mar 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
54226 Issued in MA
Practice address
100 Wason Ave
Suite 200
Springfield, MA 01107-1119
Phone
(413) 733-9666
Fax
(413) 750-3432
NPI assigned
Dec 19, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 54226 MA Primary
Nephrology Physician 207RN0300X 39258 CT

Addresses

Primary practice location

100 Wason Ave
Suite 200
Springfield, MA 01107-1119

Mailing address

PO Box 70266
Springfield, MA 01107-1577
Phone (413) 788-6530

Other identifiers 4

IdentifierTypeStateIssuer
0113123MedicaidMA
912373300MedicaidFL
003108744MedicaidCT
02594732MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20110527000344 MA Practitioner - Nephrology 0143387308 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
39258CTMDNephrology Physician
54226MAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baystate Medical Practices, Inc CurrentSince Apr 8, 2016 Accepting new patients

Locations

701 Enfield St
Ste 160
Enfield, CT 06082
Phone (860) 749-5975

759 Chestnut St
Springfield, MA 01199
Phone (413) 794-3233

300 Birnie Ave
Ste 300
Springfield, MA 01107

100 Wason Ave
Ste 200
Springfield, MA 01107
Phone (413) 773-5797

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1134950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393977600000",
    "number": "1366428682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 70266",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011071577",
            "telephone_number": "413-788-6530",
            "fax_number": "413-750-8027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WASON AVE",
            "address_2": "SUITE 200",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011071119",
            "telephone_number": "413-733-9666",
            "fax_number": "413-750-3432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRECO",
        "first_name": "BARBARA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-19",
        "last_updated": "2014-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MA",
            "license": "54226",
            "primary": true
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CT",
            "license": "39258",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0113123",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "912373300",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003108744",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02594732",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MA

Sources for this page

Verify at the official NPI Registry.