NPIMap

Individual provider Active NPI

Gregory Greene, DO

  • Internal Medicine Physician
  • Westlake, OH
National Provider Identifier
1518387174
Registry record updated Nov 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
012826 Issued in OH
Practice address
960 Clague Rd Ste 3201
Westlake, OH 44145-1588
Phone
(440) 250-2070
NPI assigned
Apr 22, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2020

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 012826 OH Primary

Addresses

Primary practice location

960 Clague Rd Ste 3201
Westlake, OH 44145-1588

Mailing address

960 Clague Rd Ste 3201
Westlake, OH 44145-1588
Phone (440) 250-2070

Other identifiers 1

IdentifierTypeStateIssuer
34012826OtherOHMEDICAL LICENSE

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address gregorygreene@uhps.allscriptsdirect.net Health Information Exchange (HIE)
Direct Messaging Address gregorygreene@uhps.allscriptsdirect.net
Direct Messaging Address gregorygreene@uhps.allscriptsdirect.net Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170823001581 OH Practitioner - Internal Medicine 2860783115 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Ohio University, College of Osteopathic Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

11100 Euclid Ave
Cleveland, OH 44106-1716

158 W Main Rd
Conneaut, OH 44030-2039

960 Clague Rd
Westlake, OH 44145-1588

Hospital & facility affiliations

  • University Hospital Home Care Services, Inc Home health agency, Warrensville HTS, OH, CCN 367424
  • Uh Cleveland Medical Center Hospital, Cleveland, OH, CCN 360137
  • Uh St John Medical Center Hospital, Westlake, OH, CCN 360123
  • University Hospitals - Elyria Medical Center Hospital, Elyria, OH, CCN 360145
  • Southwest General Health Center Hospital, Middleburg Heights, OH, CCN 360155
  • Parma Community General Hospital Hospital, Parma, OH, CCN 360041

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
012826OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
University Primary Care Practices Inc Current Accepting new patients
University Primary Care Practices, Inc. CurrentSince Aug 1, 2017 Accepting new patients
University Primary Care Practices Inc CurrentSince Aug 1, 2017 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
University Primary Care Practices Past Accepting new patients

Locations

158 W Main Rd
Ste 203
Conneaut, OH 44030
Phone (440) 285-2960

960 Clague Rd
Ste 3201
Westlake, OH 44145

Interoperability endpoints

  • Direct secure messaging: ggreene37088@ehrdirect.uhhospitals.org

Organizations & group practices 5

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 9

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": "1398124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606089600000",
    "number": "1518387174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "960 CLAGUE RD STE 3201",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441451588",
            "telephone_number": "440-250-2070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 CLAGUE RD STE 3201",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441451588",
            "telephone_number": "440-250-2070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENE",
        "first_name": "GREGORY",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-22",
        "last_updated": "2020-11-23",
        "certification_date": "2020-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "012826",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "34012826",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gregorygreene@uhps.allscriptsdirect.net",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "960 Clague Rd Ste 3201",
            "city": "Westlake",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441451588",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gregorygreene@uhps.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "960 Clague Rd Ste 3201",
            "city": "Westlake",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441451588",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gregorygreene@uhps.allscriptsdirect.net",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "960 Clague Rd Ste 3201",
            "city": "Westlake",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441451588",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Westlake, OH

Sources for this page

Verify at the official NPI Registry.