Individual provider Active NPI

Peter Greene, MD

  • Urology Physician
  • Pleasant Hill, CA
National Provider Identifier
1407295942
Registry record updated Jan 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
A152750 Issued in CA
Practice address
401 Gregory LN Ste 104
Pleasant Hill, CA 94523-2851
Phone
(925) 270-2415
NPI assigned
Jun 18, 2013
Last updated
Jan 7, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X A152750 CA Primary

Addresses

Primary practice location

401 Gregory LN Ste 104
Pleasant Hill, CA 94523-2851

Mailing address

401 Gregory LN Ste 104
Pleasant Hill, CA 94523-2851

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20180705001909 CA Practitioner - Urology 1355566290 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of California, Irvine, California College of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bass Medical GroupGroup PAC ID 9032111281, 292 clinicians

Practice addresses (Care Compare)

401 Gregory LN
Suite 104
Pleasant Hill, CA 94523-2851
Phone (925) 430-5833

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.32 of 100Reported as group
Quality
89.54
Promoting interoperability
100
Improvement activities
40
Cost
74.34

Merit-based Incentive Payment System (MIPS)

Final score
93.84 of 100Reported as individual
Quality
88.81
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection27

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A152750CAMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bass Medical Group CurrentSince Oct 30, 2023 Accepting new patients
John Muir Trauma Physicians Billing Service Current Accepting new patients
First Choice Physician Partners Current Accepting new patients
Bass Medical Group Current Accepting new patients
First Choice Physician Partners CurrentSince Jun 11, 2018 Accepting new patients
Bass Medical Group CurrentSince Oct 30, 2023 Accepting new patients
John Muir Physician Network CurrentSince Aug 13, 2021 Accepting new patients
First Choice Physician Partners CurrentSince Jun 11, 2018 Accepting new patients
John Muir Trauma Physicians Billing Service Urology CurrentSince Oct 11, 2021 Accepting new patients
Bass Medical Group Past Accepting new patients
John Muir Health Past Accepting new patients
Los Alamitos Medical Center, Inc. Past Accepting new patients
John Muir Health Past Accepting new patients

Locations

1505 Saint Alphonsus Way
Alamo, CA 94507
Phone (925) 837-4225

2400 Balfour Rd
Ste 120
Brentwood, CA 94513
Phone (925) 308-8112

2400 Balfour Rd
Ste 230
Brentwood, CA 94513
Phone (925) 324-7404

6600 Lone Tree Way
Brentwood, CA 94513
Phone (925) 471-4223

11180 Warner Ave
Ste 167
Fountain Vly, CA 92708
Phone (714) 241-8552

2500 Alhambra Ave
Martinez, CA 94553
Phone (925) 370-5000

1325 N Rose Dr
Ste 100
Placentia, CA 92870
Phone (714) 729-0103

380 Civic Dr
Ste 100
Pleasant Hill, CA 94523
Phone (925) 284-3840

401 Gregory Ln
Ste 104
Pleasant Hill, CA 94523
Phone (925) 430-5833

100 N Wiget Ln
Ste 290
Walnut Creek, CA 94598

1450 Treat Blvd
#300
Walnut Creek, CA 94597
Phone (925) 952-2828

1601 Ygnacio Valley Rd
Walnut Creek, CA 94598
Phone (925) 295-1545

365 Lennon Ln
Ste 250
Walnut Creek, CA 94598
Phone (925) 627-3424

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IBDGCA
  • Direct secure messaging: pgreene145497@ehr.johnmuirhealth.com
  • Direct secure messaging: pgreene538321@hisp.ehr.sutterhealth.org

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 4

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": "1371513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736208000000",
    "number": "1407295942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 GREGORY LN STE 104",
            "city": "PLEASANT HILL",
            "state": "CA",
            "postal_code": "945232851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 GREGORY LN STE 104",
            "city": "PLEASANT HILL",
            "state": "CA",
            "postal_code": "945232851",
            "telephone_number": "925-270-2415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENE",
        "first_name": "PETER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-06-18",
        "last_updated": "2025-01-07",
        "certification_date": "2025-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "CA",
            "license": "A152750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasant Hill, CA

Sources for this page

Verify at the official NPI Registry.