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Individual provider Active NPI

Lawrence A Greenberg, D.O.

  • Nephrology Physician
  • Troy, MI
National Provider Identifier
1568459196
Registry record updated Feb 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
LG009318 Issued in MI
Practice address
115 E Long Lake Rd
Troy, MI 48085-5524
Phone
(248) 828-7500
Fax
(248) 813-6511
NPI assigned
Sep 29, 2005
Last updated
Feb 8, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 8, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Internal Medicine) Physician 207RA0401X 5101009318 MI
Nephrology Physician 207RN0300X LG009318 MI Primary

Addresses

Primary practice location

115 E Long Lake Rd
Troy, MI 48085-5524

Mailing address

6933 Burtonwood Dr
West Bloomfield, MI 48322-3250
Phone (248) 661-9702

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20100714000669 MI Practitioner - NephrologyPractitioner - Internal MedicinePractitioner - Addiction Medicine 5799671863 Reassigns benefits to 3 organizations
Practice locations: Troy, MI; Royal Oak, MI; Lake Orion, MI; Detroit, MI; Hazel Park, MI

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Addiction Medicine
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clinton County Medical Center PCGroup PAC ID 8224923818, 27 clinicians

Practice addresses (Care Compare)

1005 S US Hwy 27
Suite 100
Saint Johns, MI 48879-2423
Phone (989) 224-3000

115 E Long Lake Rd
Troy, MI 48085-5524
Phone (248) 828-7500

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3754OKMDSocial Worker
LG009318MIMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arbor Recovery Michigan PLLC Addiction Medicine CurrentSince Apr 30, 2023 Accepting new patients
Lawrence Greenberg DO Nephrology CurrentSince Aug 1, 2021 Accepting new patients
Osteopathic Physicians of Tulsa, Inc Nephrology Past Accepting new patients
Osteopathic Physicians of Tulsa, Inc. Nephrology Past Accepting new patients
A Glenn Snyder MD MPH PLLC Past Accepting new patients

Locations

18944 Grand River Ave
Detroit, MI 48223
Phone (313) 837-1530

5085 W Bristol Rd
Flint, MI 48507
Phone (810) 230-2400

23231 John R Rd
Hazel Park, MI 48030
Phone (248) 399-0737

3601 W 13 Mile Rd
Royal Oak, MI 48073

115 E Long Lake Rd
Troy, MI 48085
Phone (248) 828-7500

Interoperability endpoints

  • Direct secure messaging: lgreenbe@direct.dmc.org

Organizations & group practices 6

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.

Hospital & facility affiliations 6

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": "1127952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738972800000",
    "number": "1568459196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6933 BURTONWOOD DR",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483223250",
            "telephone_number": "248-661-9702",
            "fax_number": "248-661-9702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 E LONG LAKE RD",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480855524",
            "telephone_number": "248-828-7500",
            "fax_number": "248-813-6511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENBERG",
        "first_name": "LAWRENCE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-29",
        "last_updated": "2025-02-08",
        "certification_date": "2025-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RA0401X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "MI",
            "license": "5101009318",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MI",
            "license": "LG009318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

Verify at the official NPI Registry.