Myles David Greenberg, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

8976974-1205 Issued in UT

Practice address

675 S Arapeen Dr Ste 102
Salt Lake City, UT 84108-1279

Phone

(385) 722-2335

NPI assigned

Aug 1, 2006

Last updated

Jul 13, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Emergency Medicine

Education

Yale University School of Medicine, 1993

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Complexcare Medical Group Midwest M PLLC

  • Internal Medicine Physician
  • Novi, MI
  • NPI 1528851607

  TX

  Medicare reassignment NPD
• Carewell Urgent Care of Rhode Island, P.C.

  dba CareWell Urgent Care -Warwick

  • Urgent Care Clinic/Center
  • Warwick, RI
  • NPI 1376891416
  NPD (past)
• Complexcare Medical Group Kansas H LLC

  • Internal Medicine Physician
  • Novi, MI
  • NPI 1073407227
  NPD (past)
• Complexcare Medical Group Kansas M LLC

  • Internal Medicine Physician
  • Novi, MI
  • NPI 1538042338
  NPD (past)
• Complexcare Medical Group Mid-Atlantic H PLLC

  • Internal Medicine Physician
  • Novi, MI
  • NPI 1275427429
  NPD (past)
• Complexcare Medical Group Midwest H PLLC

  • Internal Medicine Physician
  • Novi, MI
  • NPI 1457144933
  NPD (past)
• Complexcare Medical Group Southeast H PLLC

  • Internal Medicine Physician
  • Novi, MI
  • NPI 1083508238
  NPD (past)
• Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc

  dba Emergency Medicine - HMFP at BIDMC

  • Emergency Medicine Physician
  • Boston, MA
  • NPI 1316987993
  NPD (past)

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689206400000",
    "number": "1740297290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "675 S ARAPEEN DR STE 102",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841081279",
            "telephone_number": "385-722-2335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 S ARAPEEN DR STE 102",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841081279",
            "telephone_number": "385-722-2335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENBERG",
        "first_name": "MYLES",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2023-07-13",
        "certification_date": "2023-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "UT",
            "license": "8976974-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Toree Green
• Valerie Green
• Benjamin Dee Greenberg, MD
• Chloie Kay Greenberg
• Mackenzie Logan Greenberg
• Richard A Greenberg, MD
• Samantha Greenberg, MS, MPH
• Kimberlee Ann Greenburg
• Bradford Greene, PA
• Casey Brian Greene, PT, DPT

• Emergency Medicine Physician in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Emergency Medicine Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2023; 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.

Verify at the official NPI Registry.