Donald James Greco, MD
Individual provider Active NPI Pain Medicine Physician · Rancho Mirage, CA
NPI 1740416767 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1740416767
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pain Medicine Physician 208VP0000X
- License
- A117327 (CA)
- Practice address
- 39000 Bob Hope Drive
Harry & Diane Rinker Building
Rancho Mirage, CA 92270-3221 - Phone
- (760) 568-2684
- Fax
- (760) 837-2252
- NPI assigned
- Jun 4, 2009
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 13
Medicare Care Compare profile
- Specialty
- Anesthesiology
- Education
- University of Missouri, Kansas City, School of Medicine, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mark Twain Medical Center
Practice addresses (Care Compare)
768 Mountain Ranch Rd
San Andreas, CA 95249-9707
Phone (209) 754-3521
Hospital & facility affiliations
- Mark Twain Medical Center
- Adventist Health Sonora
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140313001434 | CA | Practitioner - Anesthesiology |
0042440018 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A117327 | CA | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mark Twain Medical Center | Current |
Accepting new patients | |
| JFK Memorial Hospital, Inc. | Past | Accepting new patients | |
| Eisenhower Medical Center | Past | Accepting new patients | |
| Desert Orthopedic Center a Medical Group Inc | Past |
Accepting new patients |
Locations
702 Mountain Ranch Rd
San Andreas, CA 95249
Phone (209) 754-0870
704 Mountain Ranch Rd
Ste 102
San Andreas, CA 95249
Phone (209) 754-2968
768 Mountain Ranch Rd
San Andreas, CA 95249
Phone (209) 464-6422
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Pain Medicine Physician | 208VP0000X | A117327 | CA | Yes |
Addresses
Primary practice location
39000 Bob Hope Drive
Harry & Diane Rinker Building
Rancho Mirage, CA 92270-3221
Mailing address
39000 Bob Hope Drive
Harry & Diane Rinker Building
Rancho Mirage, CA 92270-3221
Phone (760) 568-2684
Other practice location 1
151 S Sunrise Way Ste 500
Palm Springs, CA 92262-0132
Phone (760) 568-2684
Other practice location 2
8701 Watertown Plank Rd
Medical College of Wisconsin
Milwaukee, WI 53226
Phone (414) 456-8296
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A116326 | Other | CA | CA MEDICAL LICENSE |
Other providers in Rancho Mirage, CA
- Nicholas Gozzarelli
- Russell J Grant
- Alissa Graves
- Johann G. Gray
- Grcy Pharmacies, LLC
- Otis Greene III
- Robert B Greene
- Akum Bir Singh Grewal
- Glenn Griffin
- Christine Louise Griswold
All providers in Rancho Mirage, CA · Pain Medicine Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.