NPIMap

Individual provider Active NPI

Craig Alan Greenman, MD

  • Internal Medicine Physician
  • Lake Charles, LA
National Provider Identifier
1982960373
Registry record updated Apr 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
301129 Issued in LA
Practice address
4345 Nelson Rd Ste 201
Lake Charles, LA 70605-4183
Phone
(337) 494-6800
Fax
(337) 494-6811
NPI assigned
Apr 10, 2012
Last updated
Apr 27, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 301129 LA Primary

Addresses

Primary practice location

4345 Nelson Rd Ste 201
Lake Charles, LA 70605-4183

Mailing address

PO Box 122205 Dept 2205
Dallas, TX 75312-2205
Phone (337) 494-2921

Other practice location 1

2770 3rd Ave Ste 300
Lake Charles, LA 70601-8994
Phone (337) 494-6800

Other practice location 2

1717 Oak Park Blvd Fl 1
Lake Charles, LA 70601-8977
Phone (337) 494-6800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20161214000816 LA Practitioner - Internal Medicine 3971806696 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Louisiana State University School of Medicine in Shreveport, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Swlhs LLCGroup PAC ID 6406938612, 17 clinicians

Practice addresses (Care Compare)

1717 Oak Park Blvd
FL 1
Lake Charles, LA 70601-8977
Phone (337) 494-6800

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Swlhs LLC Internal Medicine CurrentSince Aug 27, 2016 Accepting new patients
Lake Charles Medical Services, Inc Internal Medicine PastSince Jun 12, 2022 Accepting new patients
Lake Charles Medical Services, Inc Past Accepting new patients
LCMS J William Groves, MD, LLC Past Accepting new patients
LCMS Ear, Nose and Throat Clinic of Southwest Louisiana, LLC Past Accepting new patients

Locations

1902 Johnson St
Jennings, LA 70546
Phone (337) 788-2864

1701 Oak Park Blvd
Lake Charles, LA 70601
Phone (337) 494-3000

1701 Oak Park Blvd
Fl 2
Lake Charles, LA 70601
Phone (337) 494-6868

1717 Oak Park Blvd
Fl 1
Lake Charles, LA 70601
Phone (337) 478-3810

2770 3rd Ave
Ste 300
Lake Charles, LA 70601
Phone (337) 477-6061

2770 3rd Ave
Ste 320
Lake Charles, LA 70601
Phone (337) 494-6800

2770 3rd Ave
Ste 350
Lake Charles, LA 70601
Phone (337) 494-2750

4345 Nelson Rd
Lake Charles, LA 70605
Phone (337) 480-7900

4345 Nelson Rd
Fl 2
Lake Charles, LA 70605
Phone (337) 494-6800

4345 Nelson Rd
Ste 102
Lake Charles, LA 70605
Phone (337) 439-2020

4345 Nelson Rd
Ste 201
Lake Charles, LA 70605
Phone (337) 494-6800

Interoperability endpoints

  • Direct secure messaging: cgreenman5281915@direct.casso.us.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
St Joseph Hospice of Southwest Louisiana LLCLake Charles, LA, CCN 191687 Hospice Contracted Managing Employee Oct 17, 2017

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 21

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

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1334016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651017600000",
    "number": "1982960373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 122205 DEPT 2205",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753122205",
            "telephone_number": "337-494-2921",
            "fax_number": "337-494-6523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4345 NELSON RD STE 201",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706054183",
            "telephone_number": "337-494-6800",
            "fax_number": "337-494-6811"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2770 3rd Ave Ste 300",
            "address_purpose": "LOCATION",
            "city": "Lake Charles",
            "state": "LA",
            "postal_code": "706018994",
            "country_code": "US",
            "telephone_number": "337-494-6800",
            "fax_number": "337-494-4696",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1717 Oak Park Blvd Fl 1",
            "address_purpose": "LOCATION",
            "city": "Lake Charles",
            "state": "LA",
            "postal_code": "706018977",
            "country_code": "US",
            "telephone_number": "337-494-6800",
            "fax_number": "337-494-6761",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREENMAN",
        "first_name": "CRAIG",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-10",
        "last_updated": "2022-04-27",
        "certification_date": "2022-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "301129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Charles, LA

Sources for this page

Verify at the official NPI Registry.