Active NPI
Marc Stuart Greenberg, D.P.M.
- Podiatrist
- Dayton, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 36003238
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2297278 | Medicaid | OH |
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
Enrollment records 1
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
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 100
- Quality
- 90
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 82 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 1168 |
| Removal or shaving of skin growth | 489 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1287 | MD | MD | Professional Counselor |
| 01287 | MD | MD | Clinical Psychologist |
| 36003238 | OH | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greenberg Foot and Ankle | Podiatrist | Current | Accepting new patients |
| Vital Path Care PC | Podiatrist | Current | 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
- marc.greenberg.1@4399.direct.athenahealth.com
- 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.
-
- Podiatrist
- Dayton, OH
- NPI 1295390268
-
- Foot & Ankle Surgery Podiatrist
- Great Mills, MD
- NPI 1053320580
-
dba Charlotte Hall Foot & Ankle
- Foot & Ankle Surgery Podiatrist
- Charlotte Hall, MD
- NPI 1205264363
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Kettering Health Dayton
- General Acute Care Hospital
- Dayton, OH
- NPI 1053339507
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2021; 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.