Individual provider Active NPI

Jerry Michael Greenberg, M.D.

  • Urology Physician
  • Tucson, AZ
National Provider Identifier
1780643015
Registry record updated Apr 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
21528 Issued in AZ
Practice address
6565 E Carondelet Dr Ste 155
Tucson, AZ 85710-3587
Phone
(520) 849-8900
Fax
(520) 849-7137
NPI assigned
Mar 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 21528 AZ
Urology Physician 208800000X 21528 AZ Primary
Urology Physician 208800000X CDR.0001110 CO

Addresses

Primary practice location

6565 E Carondelet Dr Ste 155
Tucson, AZ 85710-3587

Mailing address

3501 E Speedway Blvd
Tucson, AZ 85716-3917
Phone (520) 833-5171

Other practice location 1

10350 E Dakota Ave
Denver, CO 80247-1314
Phone (303) 338-4545

Other practice location 2

1000 Lincoln St Ste 208
Fort Morgan, CO 80701-3290
Phone (970) 441-3810

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepiceast.kp.org:14430/Interconnect-prodcom/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, VT, CO, GA, IN5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20070926000138 AZ Practitioner - Urology 9133213887 Reassigns benefits to 2 organizations
I20210809000365 VT Practitioner - Urology 9133213887
I20220214002402 CO Practitioner - Urology 9133213887 Reassigns benefits to 3 organizations
I20260109002724 GA Practitioner - Urology 9133213887 Reassigns benefits to 1 organization
I20260511002495 IN Practitioner - Urology 9133213887 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Emory University School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Catholic Health Initiatives ColoradoGroup PAC ID 8022927342, 1,230 clinicians

Practice addresses (Care Compare)

1000 Lincoln St
Fort Morgan, CO 80701-3290
Phone (970) 542-4371

1003 Willow Creek Rd
Prescott, AZ 86301-1641

1606 No 7TH St
Union Hospital Inc
Terre Haute, IN 47804-2706
Phone (812) 238-7000

3120 Clearwater Dr
Prescott, AZ 86305-7131
Phone (928) 771-3704

6369 E Tanque Verde Rd
Suite 160
Tucson, AZ 85715-3833
Phone (520) 403-7727

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.09 of 100Reported as group
Quality
77.1
Promoting interoperability
100
Improvement activities
40
Cost
73.19

Merit-based Incentive Payment System (MIPS)

Final score
86.6 of 100Reported as group
Quality
84.86
Promoting interoperability
99
Improvement activities
40
Cost
71.31

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
21528AZMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Intermountain Front Range, Inc. CurrentSince Jan 17, 2026 Accepting new patients
Intermountain Front Range, Inc. CurrentSince Jan 17, 2026 Accepting new patients
Catholic Health Initiatives Colorado CurrentSince Jul 1, 2025 Accepting new patients
Catholic Health Initiatives Colorado Current Accepting new patients
Yavapai Regional Medical Center Physician Care LLC Current Accepting new patients
Piedmont Providers LLC CurrentSince Dec 1, 2025 Accepting new patients
Yavapai Regional Medical Center Physician Care LLC CurrentSince Dec 1, 2024 Accepting new patients
Valley View Hospital Association Current Accepting new patients
Valley View Hospital Association CurrentSince Feb 4, 2022 Accepting new patients
Catholic Health Initiatives Colorado CurrentSince Jul 1, 2025 Accepting new patients
Jerry Greenberg MD PC Urology CurrentSince Feb 1, 2021 Accepting new patients
Valley View Hospital Association CurrentSince Feb 4, 2022 Accepting new patients
Catholic Health Initiatives Colorado Past Accepting new patients
Sport Institute of Tucson PC Specialist Past Accepting new patients
Southwestern Urology, PLLC PastSince Jul 1, 1999 Accepting new patients

Locations

3120 Clearwater Dr
Prescott, AZ 86305
Phone (928) 445-4818

6565 E Carondelet Dr
Ste 155
Tucson, AZ 85710
Phone (520) 849-8900

6369 E Tanque Verde Rd
Ste 160
Tucson, AZ 85715
Phone (520) 333-4468

9100 E Mineral Cir
Centennial, CO 80112
Phone (303) 561-5193

1010 Three Springs Blvd
Ste 270
Durango, CO 81301
Phone (970) 764-3800

1000 Lincoln St
Ste 207
Fort Morgan, CO 80701
Phone (970) 542-4371

1000 Lincoln St
Ste 208
Fort Morgan, CO 80701
Phone (970) 542-4371

1906 Blake Ave
Glenwood Springs, CO 81601
Phone (970) 384-7033

3210 Lutheran Pkwy
Wheat Ridge, CO 80033
Phone (303) 425-8000

41 State Highway 67
Woodland Park, CO 80863
Phone (719) 686-0551

1984 Peachtree Rd NW
Ste 300
Atlanta, GA 30309
Phone (404) 367-3210

Interoperability endpoints

  • Direct secure messaging: jerry.greenberg.1@23470.direct.athenahealth.com

Organizations & group practices 18

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.

View all 18

Hospital & facility affiliations 12

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": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776038400000",
    "number": "1780643015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 E SPEEDWAY BLVD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857163917",
            "telephone_number": "520-833-5171",
            "fax_number": "520-318-7107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6565 E CARONDELET DR STE 155",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857103587",
            "telephone_number": "520-849-8900",
            "fax_number": "520-849-7137"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10350 E Dakota Ave",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802471314",
            "country_code": "US",
            "telephone_number": "303-338-4545",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 Lincoln St Ste 208",
            "address_purpose": "LOCATION",
            "city": "Fort Morgan",
            "state": "CO",
            "postal_code": "807013290",
            "country_code": "US",
            "telephone_number": "970-441-3810",
            "fax_number": "970-441-3811",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREENBERG",
        "first_name": "JERRY",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-23",
        "last_updated": "2026-04-13",
        "certification_date": "2026-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AZ",
            "license": "21528",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "AZ",
            "license": "21528",
            "primary": true
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "CO",
            "license": "CDR.0001110",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepiceast.kp.org:14430/Interconnect-prodcom/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq",
            "affiliation": "N",
            "endpointDescription": "Carequality",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "10350 E Dakota Ave",
            "city": "Denver",
            "state": "CO",
            "country_code": "US",
            "postal_code": "802471314",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.