NPIMap

Individual provider Active NPI

Jeffrey M Greco, MD

  • Internal Medicine Physician
  • Mount Carmel, PA
National Provider Identifier
1770667388
Registry record updated Feb 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD032392E Issued in PA
Practice address
300 S Hickory St
Mt Carmel, PA 17851
Phone
(570) 339-2160
Fax
(570) 339-4193
NPI assigned
Oct 24, 2006
Last updated
Feb 24, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD032392E PA Primary

Addresses

Primary practice location

300 S Hickory St
Mt Carmel, PA 17851

Mailing address

300 S Hickory St
Mt Carmel, PA 17851
Phone (570) 339-2160

Other identifiers 6

IdentifierTypeStateIssuer
MA01054599MedicaidPA
1464870OtherBLUE SHIELD
1464870OtherKEYSTONE
02325000OtherPABLUE CROSS
0010545990001OtherMED ASSIST
DA2400OtherPARAILROAD MEDICARE

Other names 1

  • Traci A Gurba Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110304000278 PA Practitioner - Internal Medicine 0446247738 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University Central del Caribe Escuela de Medicina, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, shared by 2 NPIs, 2,775 clinicians

Practice addresses (Care Compare)

2000 Westinghouse Dr
Suite 200
Cranberry Township, PA 16066-5238

300 S Hickory St
Mt Carmel, PA 17851-2253
Phone (570) 339-2160

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.69 of 100Reported as apm
Quality
85.57
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St Josephs Internal Medicine PC Internal Medicine CurrentSince Nov 1, 2002 Accepting new patients
Mount Carmel Opco LLC Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Med Health Services Management, LP PastSince Nov 1, 2002 Accepting new patients

Locations

300 S Hickory St
Mount Carmel, PA 17851
Phone (570) 339-2160

Interoperability endpoints

  • Direct secure messaging: jeffrey.greco@581561530384388.direct.elationemr.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 32

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 32

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456272000000",
    "number": "1770667388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 S HICKORY ST",
            "city": "MT CARMEL",
            "state": "PA",
            "postal_code": "17851",
            "telephone_number": "570-339-2160",
            "fax_number": "570-339-4193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S HICKORY ST",
            "city": "MT CARMEL",
            "state": "PA",
            "postal_code": "17851",
            "telephone_number": "570-339-2160",
            "fax_number": "570-339-4193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRECO",
        "first_name": "JEFFREY",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2016-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD032392E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MA01054599",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "1464870",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE",
            "identifier": "1464870",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "02325000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MED ASSIST",
            "identifier": "0010545990001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DA2400",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRACI",
            "last_name": "GURBA",
            "middle_name": "A",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Mount Carmel, PA

Sources for this page

Verify at the official NPI Registry.