Individual provider Active NPI

Alan Howard Greenberg, M.D.

  • Infectious Disease Physician
  • Las Vegas, NV
National Provider Identifier
1619955226
Registry record updated Jun 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
10523 Issued in NV
Practice address
1800 W Charleston Blvd
Suite 409
Las Vegas, NV 89102-2329
Phone
(702) 383-7815
Fax
(702) 383-3875
NPI assigned
Jan 4, 2006
Last updated
Jun 10, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 10523 NV
Infectious Disease Physician 207RI0200X 10523 NV Primary

Addresses

Primary practice location

1800 W Charleston Blvd
Suite 409
Las Vegas, NV 89102-2329

Mailing address

1800 W Charleston Blvd
Suite 409
Las Vegas, NV 89102-2329
Phone (702) 383-7815

Other practice location 1

1550 W Craig Rd Ste 220
North Las Vegas, NV 89032-0329
Phone (702) 620-7828

Other identifiers 2

IdentifierTypeStateIssuer
100500810MedicaidNV
100500484MedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20080109000553 NV Practitioner - Internal MedicinePractitioner - Infectious Disease 6406936954

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
81.21 of 100Reported as group
Quality
63.87
Promoting interoperability
96
Improvement activities
40
Cost
76.83

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10523NVMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Nevada Health District PastSince Jun 14, 2020 Accepting new patients
Family Physicians at Lich Infectious Disease Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: agreenberg18618@direct.umcsn.com
  • Direct secure messaging: alan.greenberg@snhd.eclinicaldirectplus.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1136332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717977600000",
    "number": "1619955226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 W CHARLESTON BLVD",
            "address_2": "SUITE 409",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891022329",
            "telephone_number": "702-383-7815",
            "fax_number": "702-383-3875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 W CHARLESTON BLVD",
            "address_2": "SUITE 409",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891022329",
            "telephone_number": "702-383-7815",
            "fax_number": "702-383-3875"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1550 W Craig Rd Ste 220",
            "address_purpose": "LOCATION",
            "city": "North Las Vegas",
            "state": "NV",
            "postal_code": "890320329",
            "country_code": "US",
            "telephone_number": "702-620-7828",
            "fax_number": "702-399-8431",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREENBERG",
        "first_name": "ALAN",
        "middle_name": "HOWARD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-04",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "10523",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NV",
            "license": "10523",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100500810",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100500484",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.