Paul Joseph Greenbaum, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

72149 Issued in NM

Practice address

6609 Beau Chene NE
Albuquerque, NM 87111-6500

Phone

(505) 299-2193

NPI assigned

Jan 5, 2007

Last updated

Sep 29, 2026By 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 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790640000000",
    "number": "1790832137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6609 BEAU CHENE NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871116500",
            "telephone_number": "505-299-2193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6609 BEAU CHENE NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871116500",
            "telephone_number": "505-299-2193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENBAUM",
        "first_name": "PAUL",
        "middle_name": "JOSEPH",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-05",
        "last_updated": "2026-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NM",
            "license": "72149",
            "primary": true
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NM",
            "license": "72149",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00011098",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "207R00000X",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Susanna Paige Green
• Virginia K Green, LCSW
• William Frederick Green, MD
• Willie Green
• Alissa Ayres Greenbaum, MD
• Jack J Greenberg, MD
• Erin Nicole Greenberger, MD
• Jody Greene Wood, MS CCC-SLP
• Brandi Salena Greene, DPT
• Cheryl M Greene, MD

• Internal Medicine Physician in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Internal Medicine Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.