Mindy Greenberg, PA-C, MS

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA03067 Issued in TX

Practice address

4500 South Lancaster Road
Gi Lab, 111B1
Dallas, TX 75216-0000

Phone

(214) 857-4160

Fax

(214) 462-4512

NPI assigned

Nov 10, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in DE

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

80 of 100Reported as group

Quality

62.88

Promoting interoperability

94

Improvement activities

40

Cost

75.47

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science, Physician Assistant

State licenses

Practice roles

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.

• Beebe Physician Network Inc.

  • Internal Medicine Physician
  • Lewes, DE
  • NPI 1730133992
  Medicare reassignment
• Panzer Dermatology Associates

  • Specialist
  • Newark, DE
  • NPI 1740201995
  Medicare reassignment
• East Texas Medical Center Healthcare Associates

  • Emergency Medicine Physician
  • Tyler, TX
  • NPI 1699719872
  NPD (past)
• Mid Central Emergency Medicine Associates PA

  • Emergency Medicine Physician
  • Corsicana, TX
  • NPI 1275568404

  Medical

  NPD (past)
• Texas Em-1 Medical Services, PA

  • Physician Assistant
  • Corsicana, TX
  • NPI 1124065735
  NPD (past)
• Texas Emergency Rooms Services, PA

  • Emergency Medicine Physician
  • Corsicana, TX
  • NPI 1669410619
  NPD (past)
• Delaware Center for Digestive Care LLC

  • Gastroenterology Physician
  • Newark, DE
  • NPI 1558722561
  NPD (past)
• Family Dermatology of Pennsylvania, PC

  • Dermatology Physician
  • Reading, PA
  • NPI 1669482105
  NPD (past)

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

{
    "created_epoch": "1131580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363046400000",
    "number": "1386625945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 S LANCASTER RD",
            "address_2": "GI LAB, 111B1",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752167167",
            "telephone_number": "214-857-4160",
            "fax_number": "214-462-4512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 SOUTH LANCASTER ROAD",
            "address_2": "GI LAB, 111B1",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752160000",
            "telephone_number": "214-857-4160",
            "fax_number": "214-462-4512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENBERG",
        "first_name": "MINDY",
        "name_prefix": "Ms.",
        "credential": "PA-C, MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-10",
        "last_updated": "2013-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA03067",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA03067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristina Greenawalt
• Benjamin M Greenberg, MD
• David Elihu Greenberg, M.D.
• Ian M Greenberg, MD
• Lynn Allison Greenberg, OTR
• Tasha Zemrus Greenberg, M.D.
• Greene Counseling & Guidance
• Greene Monitoring, PLLC
• Amy L Greene, DNP
• Antonio B Greene, PHARM.D.

• Medical Physician Assistant in Dallas, TX
• Providers in Dallas, TX by specialty
• Medical Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.