Individual provider Active NPI

Clifford Alan Greenberg, M.D.

  • Internal Medicine Physician
  • Naples, FL
National Provider Identifier
1366476632
Registry record updated Mar 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME92387 Issued in FL
Practice address
13324 Pond Apple Dr W
Naples, FL 34119-8556
Phone
(239) 560-1655
Fax
(239) 471-0763
NPI assigned
Jul 10, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME92387 FL Primary

Addresses

Primary practice location

13324 Pond Apple Dr W
Naples, FL 34119-8556

Mailing address

13324 Pond Apple Dr W
Naples, FL 34119-8556
Phone (239) 560-1655

Other identifiers 2

IdentifierTypeStateIssuer
AC644XOtherFLMEDICARE PTAN
01459058MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20070529000578 FL Practitioner - Internal Medicine 9931206885 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Naples, FL 34119
Phone (239) 560-1655

3601 Lakewood Blvd
Naples, FL 34112-6145
Phone (239) 775-7757

Hospital & facility affiliations

  • Preferred Care Home Health Services Home health agency, Fort Myers, FL, CCN 109423
  • Empath Home Health Home health agency, Fort Myers, FL, CCN 109786
  • Avow Hospice Inc Hospice, Naples, FL, CCN 101528
  • Solaris Healthcare Imperial Nursing home, Naples, FL, CCN 105738
  • Woodside Health and Rehabilitation Center Nursing home, Naples, FL, CCN 105421
  • Solaris Healthcare Lely Palms Nursing home, Naples, FL, CCN 105499

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME92387FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cag Medical Services Inc Internal Medicine CurrentSince Oct 28, 2009 Accepting new patients
National Medical Affiliates Inc Internal Medicine Past Accepting new patients
Pandya King Group PA Internal Medicine Past Accepting new patients

Organizations & group practices 3

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.

Hospital & facility affiliations 6

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": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741305600000",
    "number": "1366476632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13324 POND APPLE DR W",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341198556",
            "telephone_number": "239-560-1655",
            "fax_number": "239-471-0763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13324 POND APPLE DR W",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341198556",
            "telephone_number": "239-560-1655",
            "fax_number": "239-471-0763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENBERG",
        "first_name": "CLIFFORD",
        "middle_name": "ALAN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2025-03-07",
        "certification_date": "2025-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME92387",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "AC644X",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01459058",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.