Individual provider Active NPI

Cindy A Greenberg, M.D.

  • Dermatopathology Physician
  • Kingwood, TX
National Provider Identifier
1649247115
Registry record updated Oct 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatopathology PhysicianTaxonomy code 207ND0900X
License
H5709 Issued in TX
Practice address
2300 Green Oak Dr Ste 200
Kingwood, TX 77339-2003
Phone
(713) 797-6171
Fax
(713) 797-6669
NPI assigned
Mar 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X H5709 TX
Dermatopathology Physician 207ND0900X H5709 TX Primary

Addresses

Primary practice location

2300 Green Oak Dr Ste 200
Kingwood, TX 77339-2003

Mailing address

7515 Main St
Suite 770
Houston, TX 77030-4537
Phone (713) 797-6171

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20090721000747 TX Practitioner - DermatologyPractitioner - Pathology 7719907690 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
H5709TXMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Oliver Street 5.01(a) Inc. Dermatology CurrentSince Apr 1, 2018 Accepting new patients

Locations

5420 West Loop S
Ste 4500
Bellaire, TX 77401
Phone (713) 529-8787

5310 Harvest Hill Rd
Ste 290
Dallas, TX 75230
Phone (214) 420-0672

6117 Berkshire Ln
Dallas, TX 75225
Phone (214) 373-3376

7515 Main St
Ste 770
Houston, TX 77030
Phone (713) 797-6171

2300 Green Oak Dr
Ste 200
Kingwood, TX 77339
Phone (281) 358-7600

2225 Williams Trace Blvd
Ste 112
Sugar Land, TX 77478
Phone (281) 313-0006

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1141344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697155200000",
    "number": "1649247115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7515 MAIN ST",
            "address_2": "SUITE 770",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770304537",
            "telephone_number": "713-797-6171",
            "fax_number": "713-797-6669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 GREEN OAK DR STE 200",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773392003",
            "telephone_number": "713-797-6171",
            "fax_number": "713-797-6669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENBERG",
        "first_name": "CINDY",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-03",
        "last_updated": "2023-10-13",
        "certification_date": "2023-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "H5709",
            "primary": false
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "TX",
            "license": "H5709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingwood, TX

Sources for this page

Verify at the official NPI Registry.