Individual provider Active NPI

David Ivan Greenfield, MD

  • Rheumatology Physician
  • Venice, FL
National Provider Identifier
1669415253
Registry record updated Oct 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
ME0046436 Issued in FL
Practice address
1525 Tamiami TRL S
Suite 601
Venice, FL 34285-3568
Phone
(941) 497-4069
Fax
(941) 496-9145
NPI assigned
Jun 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 11, 2016

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 ME46436 FL
Rheumatology Physician 207RR0500X ME0046436 FL Primary

Addresses

Primary practice location

1525 Tamiami TRL S
Suite 601
Venice, FL 34285-3568

Mailing address

1525 Tamiami TRL S
Suite 601
Venice, FL 34285-3568
Phone (941) 497-4069

Other identifiers 1

IdentifierTypeStateIssuer
048713900MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20100805001081 FL Practitioner - Rheumatology 3375676687 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Restore Medical Partners PLLCGroup PAC ID 1951682426, 14 clinicians

Practice addresses (Care Compare)

333 Tamiami TRL S
Suite 169171
Venice, FL 34285-2402
Phone (941) 375-3006

Hospital & facility affiliations

  • Sarasota Memorial Hospital Hospital, Sarasota, FL, CCN 100087

Merit-based Incentive Payment System (MIPS)

Final score
48.82 of 100Reported as group
Quality
0
Promoting interoperability
100
Improvement activities
0
Cost
75.32

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME46436FLMDInternal Medicine Physician
ME0046436FLMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Restore Medical Partners, PLLC CurrentSince Jul 6, 2021 Accepting new patients
Restore Medical Partners, PLLC CurrentSince Jul 6, 2021 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

333 Tamiami Trl S
Ste 183
Venice, FL 34285
Phone (941) 220-5075

333 Tamiami Trl S
Ste 169171
Venice, FL 34285
Phone (941) 375-3006

333 Tamiami Trl S
Ste 101
Venice, FL 34285
Phone (941) 375-3006

Organizations & group practices 3

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": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476144000000",
    "number": "1669415253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 TAMIAMI TRL S",
            "address_2": "SUITE 601",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342853568",
            "telephone_number": "941-497-4069",
            "fax_number": "941-496-9145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 TAMIAMI TRL S",
            "address_2": "SUITE 601",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342853568",
            "telephone_number": "941-497-4069",
            "fax_number": "941-496-9145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENFIELD",
        "first_name": "DAVID",
        "middle_name": "IVAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-13",
        "last_updated": "2016-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME46436",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "FL",
            "license": "ME0046436",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "048713900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Venice, FL

Sources for this page

Verify at the official NPI Registry.