Individual provider Active NPI

Saul M Greenbaum, MD

  • Allergy & Immunology (Internal Medicine) Physician
  • Memphis, TN
National Provider Identifier
1851707616
Registry record updated Feb 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology (Internal Medicine) PhysicianTaxonomy code 207RA0201X
License
60765 Issued in TN
Practice address
995 S Yates Rd Ste 3
Memphis, TN 38119-0882
Phone
(901) 512-8258
Fax
(901) 252-0055
NPI assigned
Jul 1, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology (Internal Medicine) Physician 207RA0201X 60765 TN Primary

Addresses

Primary practice location

995 S Yates Rd Ste 3
Memphis, TN 38119-0882

Mailing address

PO Box 381662
Germantown, TN 38183-1662
Phone (901) 512-8258

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, TN2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20170516002111 OH Practitioner - Internal Medicine 8729355029 Reassigns benefits to 3 organizations
I20211025001884 TN Practitioner - Allergy/Immunology 8729355029 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Medicine Physicians of Richland County, LTD Internal Medicine CurrentSince Feb 10, 2020 Accepting new patients
Hospitalist Medicine Physicians of Ohio-Columbus II Professional Corp Internal Medicine CurrentSince Jan 1, 2021 Accepting new patients
Hospitalist Medicine Physicians of Ohio, Professional Corporation Internal Medicine CurrentSince May 1, 2017 Accepting new patients

Locations

2420 Lake Ave
Ashtabula, OH 44004
Phone (216) 986-2919

1320 Timken Mercy Dr NW
Canton, OH 44708
Phone (330) 489-1000

7500 State Rd
Cincinnati, OH 45255
Phone (513) 624-4034

4777 E Galbraith Rd
Cincinnati, OH 45236
Phone (513) 686-3000

600 N Pickaway St
Circleville, OH 43113
Phone (614) 352-6479

181 Taylor Ave
Columbus, OH 43203
Phone (614) 257-2358

5410 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 377-1674

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1404172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643760000000",
    "number": "1851707616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 381662",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381831662",
            "telephone_number": "901-512-8258",
            "fax_number": "901-252-0055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "995 S YATES RD STE 3",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381190882",
            "telephone_number": "901-512-8258",
            "fax_number": "901-252-0055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENBAUM",
        "first_name": "SAUL",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-01",
        "last_updated": "2022-02-02",
        "certification_date": "2022-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RA0201X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Allergy & Immunology",
            "state": "TN",
            "license": "60765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.