Active NPI
Alan Howard Greenberg, M.D.
- Infectious Disease Physician
- Las Vegas, NV
National Provider Identifier
1619955226
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- 10523
- 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, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100500810 | Medicaid | NV | |
| 100500484 | Medicaid | NV |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080109000553 | NV | Practitioner - Internal Medicine | 6406936954 |
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 81.21 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 10523 | NV | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern Nevada Health District | Past | Accepting new patients | |
| Family Physicians at Lich | Infectious Disease | Past | Accepting new patients |
Interoperability endpoints
- agreenberg18618@direct.umcsn.com
- 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.
-
- Clinical Medical Laboratory
- Las Vegas, NV
- NPI 1215315973
-
- Infectious Disease Physician
- Brooklyn, NY
- NPI 1316994296
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.