NPIMap

Individual provider Active NPI

Jerry Howard Greenberg, MD

  • Cardiovascular Disease Physician
  • Vail, CO
National Provider Identifier
1962498766
Registry record updated Jun 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
23738 Issued in CO
Practice address
108 S Frontage Rd W
US Bank Building Ste 306
Vail, CO 81657-5053
Phone
(970) 476-1110
Fax
(970) 470-6648
NPI assigned
Sep 27, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 23738 CO Primary

Addresses

Primary practice location

108 S Frontage Rd W
US Bank Building Ste 306
Vail, CO 81657-5053

Mailing address

PO Box 40000
Vail, CO 81658-7520
Phone (970) 476-1110

Other identifiers 11

IdentifierTypeStateIssuer
01237387MedicaidCO
1962498766MedicaidWY
10026280600MedicaidNE
10026280800MedicaidNE
10026281000MedicaidNE
10026283100MedicaidNE
1982948089MedicaidNE
03788075MedicaidNM
10026280700MedicaidNE
10026281200MedicaidNE
201070520AMedicaidKS

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address VVMC.DIRECT@direct.vvmc.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040524000930 CO Practitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology) 2961315957 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Cardiovascular Disease (Cardiology)
Education
Rutgers New Jersey Medical School, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
VVMC Diversified ServicesGroup PAC ID 8628145414, 16 clinicians

Practice addresses (Care Compare)

180 S Frontage Rd W
Suite 5900
Vail, CO 81657-5038
Phone (970) 479-5036

Hospital & facility affiliations

  • Vail Health Hospital Hospital, Vail, CO, CCN 060096
  • The Medical Center of Aurora & South Hospital Hospital, Aurora, CO, CCN 060100

Merit-based Incentive Payment System (MIPS)

Final score
77.87 of 100Reported as group
Quality
58.69
Promoting interoperability
97
Improvement activities
40
Cost
70.03

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
23738COMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vail Clinic, Inc. CurrentSince Sep 27, 2017 Accepting new patients
VVMC Diversified Services CurrentSince Jun 1, 2014 Accepting new patients
Vail Clinic, Inc. CurrentSince Jul 1, 2015 Accepting new patients
VVMC Diversified Services Cardiovascular Disease CurrentSince Jun 1, 2014 Accepting new patients
VVMC Diversified Services Current Accepting new patients
Aurora Denver Cardiology Associates PC Cardiovascular Disease Current Accepting new patients
VVMC Diversified Services Past Accepting new patients
Rose Interpretation Group Cardiovascular Disease Past Accepting new patients

Locations

1421 S Potomac St
Ste 40
Aurora, CO 80012
Phone (303) 298-1802

1280 Village Rd
#324C
Beaver Creek, CO 81620
Phone (970) 949-0800

1444 S Potomac St
Ste 300
Denver, CO 80012
Phone (303) 750-0822

4567 E 9th Ave
Denver, CO 80220
Phone (303) 302-2121

1501 S Potomac St
Denver, CO 80012
Phone (303) 695-2604

365 Dillon Ridge Rd
Ste 1100
Dillon, CO 80435
Phone (970) 470-6648

377 Sylvan Lake Rd
Ste 210
Eagle, CO 81631
Phone (970) 328-1650

322 Beard Creek Rd
Ste 1300
Edwards, CO 81632
Phone (970) 479-7251

9397 Crown Crest Blvd
Parker, CO 80138
Phone (303) 840-1135

9395 Crown Crest Blvd
Parker, CO 80138
Phone (303) 269-4000

181 W Meadow Dr
Vail, CO 81657
Phone (970) 476-1225

108 S Frontage Rd W
Ste 306
Vail, CO 81657

180 S Frontage Rd W
Ste 5900
Vail, CO 81657
Phone (970) 479-5036

181 W Meadow Dr
Ste 100
Vail, CO 81657
Phone (970) 479-5036

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/980/brand/1/csg/1/fhir/r4
  • Direct secure messaging: vvmc.direct@direct.vvmc.com

Organizations & group practices 8

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.

Hospital & facility affiliations 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1127779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623024000000",
    "number": "1962498766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40000",
            "city": "VAIL",
            "state": "CO",
            "postal_code": "816587520",
            "telephone_number": "970-476-1110",
            "fax_number": "970-470-6648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 S FRONTAGE RD W",
            "address_2": "US BANK BUILDING STE 306",
            "city": "VAIL",
            "state": "CO",
            "postal_code": "816575053",
            "telephone_number": "970-476-1110",
            "fax_number": "970-470-6648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENBERG",
        "first_name": "JERRY",
        "middle_name": "HOWARD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-27",
        "last_updated": "2021-06-07",
        "certification_date": "2021-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CO",
            "license": "23738",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01237387",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1962498766",
            "state": "WY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10026280600",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10026280800",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10026281000",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10026283100",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1982948089",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03788075",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10026280700",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10026281200",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201070520A",
            "state": "KS"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "VVMC.DIRECT@direct.vvmc.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "108 S Frontage Rd W",
            "address_2": "US Bank Building Ste 306",
            "city": "Vail",
            "state": "CO",
            "country_code": "US",
            "postal_code": "816575053",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Vail, CO

Sources for this page

Verify at the official NPI Registry.