Individual provider Active NPI

Jayson Scott Greenberg, M.D.

  • Otolaryngology Physician
  • Brighton, MI
National Provider Identifier
1538197173
Registry record updated Dec 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
4301078781 Issued in MI
Practice address
7500 Challis Rd
1St Floor
Brighton, MI 48116-9416
Phone
(810) 263-4000
NPI assigned
Jun 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 4301078781 MI Primary

Addresses

Primary practice location

7500 Challis Rd
1St Floor
Brighton, MI 48116-9416

Mailing address

3621 S State St
Ann Arbor, MI 48108-1633
Phone (734) 647-5299

Other practice location 1

1111 Teneyck St
Suite 100
Jackson, MI 49201-2461
Phone (517) 787-8940 ext. 19

Other identifiers 3

IdentifierTypeStateIssuer
10-20013OtherMIPHYSICIAN HEALTH PLAN UHC
4405491-10MedicaidMI
0403811832OtherMIBLUE CROSS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20070626000365 MI Practitioner - Otolaryngology 4688773054 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of Michigan Medical School, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regents of the University of MichiganGroup PAC ID 3779496856, shared by 45 NPIs, 3,344 clinicians

Practice addresses (Care Compare)

24 Frank Lloyd Wright Dr
Ann Arbor, MI 48105-9484

39901 Traditions Dr
Northville, MI 48168-9493

7500 Challis Rd
Brighton, MI 48116-9416
Phone (810) 263-4000

8001 Challis Rd
Brighton, MI 48116-7446
Phone (810) 227-9510

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the University of Michigan CurrentSince Oct 9, 2018 Accepting new patients
W.a. Foote Memorial Hospital, Inc CurrentSince Jul 1, 2013 Accepting new patients
Regents of the University of Michigan Current Accepting new patients
Regents of the University of Michigan Otolaryngology CurrentSince Oct 9, 2018 Accepting new patients
W. a. Foote Memorial Hospital, Inc Current Accepting new patients
Regents of the University of Michigan Current Accepting new patients
W.a. Foote Memorial Hospital, Inc Otolaryngology CurrentSince Jul 1, 2013 Accepting new patients
Regents of the University of Michigan Past Accepting new patients
Regents of the University of Michigan Past Accepting new patients
ENT Associates of Jackson, P.C. Otolaryngology Past Accepting new patients
Regents of the University of Michigan Past Accepting new patients

Locations

24 Frank Lloyd Wright Dr
Ann Arbor, MI 48105
Phone (734) 930-7400

3621 S State St
Ann Arbor, MI 48108
Phone (734) 647-5229

1500 E Medical Center Dr
Ann Arbor, MI 48109
Phone (734) 936-4280

380 Parkland Plz
Ste 210
Ann Arbor, MI 48103

7500 Challis Rd
Brighton, MI 48116
Phone (734) 764-4190

7500 Challis Rd
Fl 1
Brighton, MI 48116
Phone (810) 263-4000

8001 Challis Rd
Brighton, MI 48116
Phone (810) 227-9510

205 N East Ave
Jackson, MI 49201
Phone (517) 788-4730

1111 Teneyck St
Ste 100
Jackson, MI 49201
Phone (517) 205-8940

813 W Michigan Ave
Jackson, MI 49202
Phone (517) 205-1000

1111 Teneyck St
Jackson, MI 49201
Phone (517) 205-8940

Interoperability endpoints

  • Direct secure messaging: jgreenberg722743@direct.med.umich.edu

Organizations & group practices 11

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 1

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": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544659200000",
    "number": "1538197173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3621 S STATE ST",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481081633",
            "telephone_number": "734-647-5299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7500 CHALLIS RD",
            "address_2": "1ST FLOOR",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481169416",
            "telephone_number": "810-263-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1111 Teneyck St",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MI",
            "postal_code": "492012461",
            "country_code": "US",
            "telephone_number": "517-787-8940 x19",
            "fax_number": "517-787-9054",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREENBERG",
        "first_name": "JAYSON",
        "middle_name": "SCOTT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-30",
        "last_updated": "2018-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "MI",
            "license": "4301078781",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN HEALTH PLAN UHC",
            "identifier": "10-20013",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4405491-10",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "0403811832",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brighton, MI

Sources for this page

Verify at the official NPI Registry.