Individual provider Active NPI

Robert Alan Greenberg, MD

  • Pulmonary Disease Physician
  • Gainesville, FL
National Provider Identifier
1568445997
Registry record updated Dec 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
ME13988 Issued in FL
Practice address
6628 NW 9TH Blvd
Ste 4
Gainesville, FL 32605-4282
Phone
(352) 331-1155
Fax
(352) 331-3371
NPI assigned
Nov 21, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 8, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X ME13988 FL Primary

Addresses

Primary practice location

6628 NW 9TH Blvd
Ste 4
Gainesville, FL 32605-4282

Mailing address

6628 NW 9TH Blvd
Ste 4
Gainesville, FL 32605-4282
Phone (352) 331-1155

Other identifiers 2

IdentifierTypeStateIssuer
053664400MedicaidFL
01906OtherFLBCBS OF FLORIDA

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
I20100315000613 FL Practitioner - Pulmonary DiseasePractitioner - Internal MedicinePractitioner - Critical Care (Intensivists) 6406981505 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists), Internal Medicine
Education
University of Florida College of Medicine, 1967
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

6628 NW 9TH Blvd
Suite 3
Gainesville, FL 32605-4282

Hospital & facility affiliations

  • HCA Florida North Florida Hospital Hospital, Gainesville, FL, CCN 100204

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Robert a Greenberg MD PA Pulmonary Disease CurrentSince Mar 1, 1969 Accepting new patients
Merk, Inc PastSince Jan 1, 2005 Accepting new patients

Locations

6628 NW 9th Blvd
Ste 4
Gainesville, FL 32605
Phone (352) 331-1155

6628 NW 9th Blvd
Ste 3
Gainesville, FL 32605
Phone (352) 331-1155

Organizations & group practices 2

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": "1132531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260230400000",
    "number": "1568445997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6628 NW 9TH BLVD",
            "address_2": "STE 4",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326054282",
            "telephone_number": "352-331-1155",
            "fax_number": "352-331-3371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6628 NW 9TH BLVD",
            "address_2": "STE 4",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326054282",
            "telephone_number": "352-331-1155",
            "fax_number": "352-331-3371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENBERG",
        "first_name": "ROBERT",
        "middle_name": "ALAN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-21",
        "last_updated": "2009-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "FL",
            "license": "ME13988",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "053664400",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF FLORIDA",
            "identifier": "01906",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

Verify at the official NPI Registry.