Scott Greenberg

Primary specialty

Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X

License

MD17520 Issued in RI

Practice address

101 Plain St Ste 101
Providence, RI 02903-4828

Phone

(401) 274-5844

NPI assigned

May 9, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in RI, MA2 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

Specialty

Ophthalmology

Education

State University of Ny Upstate Medical University, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Retina Consultants IncGroup PAC ID 0749295525, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sgreenberg834574@direct.trinity-health.org

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.

• Retina Consultants Inc

  • Retina Specialist (Ophthalmology) Physician
  • Providence, RI
  • NPI 1780765354

  MA

  Medicare reassignment Care Compare group NPD
• Lifespan Physician Group, Inc.

  • General Practice Physician
  • Providence, RI
  • NPI 1407116643
  Medicare reassignment NPD
• Lifespan Physician Group, Inc.

  • Emergency Medicine Physician
  • Providence, RI
  • NPI 1568325678
  NPD
• Glaucoma Consultants of the Capital Region,PLLC

  • Ophthalmology Physician
  • Slingerlands, NY
  • NPI 1073530952

  Retina Specialist

  NPD (past)

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

{
    "created_epoch": "1431129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700438400000",
    "number": "1952789018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 PLAIN ST STE 101",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029034828",
            "telephone_number": "401-274-5844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 PLAIN ST STE 101",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029034828",
            "telephone_number": "401-274-5844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENBERG",
        "first_name": "SCOTT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-09",
        "last_updated": "2023-11-20",
        "certification_date": "2023-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "NY",
            "license": "297639",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "MA",
            "license": "278962",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "RI",
            "license": "MD17520",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00274364",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jay Brian Green, OTR/L
• Marsha Ann Green, PT
• Benjamin David Greenberg, MD, PHD
• Paul B Greenberg, MD
• Samuel Greenberg, MD
• Chelsea Carver Greenblatt, MD
• Logan Benjamin Greenblatt, MD
• Samuel Greenblatt, M.D.
• Jennifer J Greene Welch, MD
• Brian C Greene, RN

• Retina Specialist (Ophthalmology) Physician in Providence, RI
• Providers in Providence, RI by specialty
• Retina Specialist (Ophthalmology) Physician in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2023; 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.