Vladimir Alexandrovich Grebennikov, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

K9291 Issued in TX

Practice address

870 N Coit Rd
Suite 2660
Richardson, TX 75080-5420

Phone

(972) 235-2459

Fax

(972) 235-9435

NPI assigned

Oct 11, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

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 1

Specialty

Internal Medicine

Education

Other, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Legacy Healthcare Services IncGroup PAC ID 2163339722, 3,431 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Veritas Home Health Home health agency, Plano, TX, CCN 677811
• Medical City Plano Hospital, Plano, TX, CCN 450651

Merit-based Incentive Payment System (MIPS)

Final score

23.24 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

77.48

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

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.

• Z1K, PA

  • Internal Medicine Physician
  • Richardson, TX
  • NPI 1972941896
  Medicare reassignment
• Legacy Healthcare Services Inc.

  • Physical Therapist
  • Cedar Park, TX
  • NPI 1871132357
  Care Compare group

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

• Columbia Medical Center of Plano Subsidiary LP

  • General Acute Care Hospital
  • Plano, TX
  • NPI 1699726406
  Care Compare affiliation
• Veritas Home Health, LLC

  • Home Health Agency
  • Plano, TX
  • NPI 1578523726
  Care Compare affiliation

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

{
    "created_epoch": "1128988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374710400000",
    "number": "1952399313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "870 N COIT RD",
            "address_2": "SUITE 2660",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750805420",
            "telephone_number": "972-235-2459",
            "fax_number": "972-235-9435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "870 N COIT RD",
            "address_2": "SUITE 2660",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750805420",
            "telephone_number": "972-235-2459",
            "fax_number": "972-235-9435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREBENNIKOV",
        "first_name": "VLADIMIR",
        "middle_name": "ALEXANDROVICH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-11",
        "last_updated": "2013-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "K9291",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "K9291",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1504755-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sara Granger
• Reese Cabot Graves, MD
• Barbara Gray
• Olivia Gray, DPT
• Greater Dallas Arya Samaj Cancer Clinic
• Courtney Green, CNIM
• David Warner Green, M.D.
• Nia Green
• Darielle Greenberg, PSY.D.
• Stephanie H. Greenberg, M.S., LPC, LCDC

• Internal Medicine Physician in Richardson, TX
• Providers in Richardson, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.