Individual provider Active NPI

Marc Stuart Greenberg, D.P.M.

  • Podiatrist
  • Dayton, OH
National Provider Identifier
1659395689
Registry record updated Dec 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
36003238 Issued in OH
Practice address
1989 Miamisburg Centerville Rd Ste 200
Dayton, OH 45459-3858
Phone
(937) 938-6444
Fax
(937) 834-8636
NPI assigned
Jul 26, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 36003238 OH Primary

Addresses

Primary practice location

1989 Miamisburg Centerville Rd Ste 200
Dayton, OH 45459-3858

Mailing address

1989 Miamisburg Centerville Rd Ste 200
Dayton, OH 45459-3858
Phone (937) 938-6444

Other identifiers 1

IdentifierTypeStateIssuer
2297278MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101101000335 OH Practitioner - Podiatry 5597968206 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vital Path Care PCGroup PAC ID 8022532613, 52 clinicians
Greenberg Foot and AnkleGroup PAC ID 9133452733, 2 clinicians

Practice addresses (Care Compare)

1989 Miamisburg Centerville Rd
Suite 200
Dayton, OH 45459-3858
Phone (937) 938-6444

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.93 of 100Reported as group
Quality
90
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue82
Removal of skin lesions1-10
Removal of nail tissue1168
Removal or shaving of skin growth489
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1287MDMDProfessional Counselor
01287MDMDClinical Psychologist
36003238OHMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Greenberg Foot and Ankle Podiatrist CurrentSince May 1, 2019 Accepting new patients
Vital Path Care PC Podiatrist CurrentSince Dec 1, 2025 Accepting new patients
Capital Foot & Ankle Care Centre PA Past Accepting new patients
Capital Foot & Ankle Care Centre, PA Podiatrist Past Accepting new patients

Locations

1989 Miamisburg Centerville Rd
Ste 200
Dayton, OH 45459
Phone (937) 832-7691

1001 Shroyer Rd
Dayton, OH 45419
Phone (855) 669-7843

6200 Pleasant Ave
Ste 3
Fairfield, OH 45014
Phone (513) 745-9988

Interoperability endpoints

  • Direct secure messaging: marc.greenberg.1@4399.direct.athenahealth.com
  • Direct secure messaging: marcgreenberg@afaso.allscriptsdirect.net

Organizations & group practices 4

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": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638489600000",
    "number": "1659395689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1989 MIAMISBURG CENTERVILLE RD STE 200",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454593858",
            "telephone_number": "937-938-6444",
            "fax_number": "937-834-8636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1989 MIAMISBURG CENTERVILLE RD STE 200",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454593858",
            "telephone_number": "937-938-6444",
            "fax_number": "937-834-8636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENBERG",
        "first_name": "MARC",
        "middle_name": "STUART",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2021-12-03",
        "certification_date": "2021-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "OH",
            "license": "36003238",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2297278",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

Verify at the official NPI Registry.