Craig Alan Greenman, MD
Individual provider Active NPI Internal Medicine Physician · Lake Charles, LA
NPI 1982960373 · NPPES record last updated Apr 27, 2022
Key facts
- NPI
- 1982960373
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 301129 (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
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 21
Owned or controlled facilities with NPI records 1
Medicare Care Compare profile
- 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 LLC
Practice addresses (Care Compare)
1717 Oak Park Blvd
FL 1
Lake Charles, LA 70601-8977
Phone (337) 494-6800
Hospital & facility affiliations
- Elara Caring
- Vitalcaring Group
- Southern Home Health
- HH Agency of Lake Charles Memo
- Stat Home Health of Southwest Louisiana, LLC
- St Joseph Hospice of Southwest Louisiana, LLC
- Lake Charles Memorial Hospital
- Christus Ochsner St Patrick Hospital
- West Calcasieu Cameron Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 1
| Facility | Type | Role | Since |
|---|---|---|---|
| St Joseph Hospice of Southwest Louisiana LLC |
Hospice | Contracted Managing Employee | Oct 17, 2017 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161214000816 | LA | Practitioner - Internal Medicine | 3971806696 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 301129 | LA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Swlhs LLC | Internal Medicine | Current |
Accepting new patients |
| LCMS J William Groves, MD, LLC | Past | Accepting new patients | |
| Lake Charles Medical Services, Inc | Past | Accepting new patients | |
| LCMS Ear, Nose and Throat Clinic of Southwest Louisiana, LLC | Past | Accepting new patients | |
| Lake Charles Medical Services, Inc | Internal Medicine | Past |
Accepting new patients |
Locations
1902 Johnson St
Jennings, LA 70546
Phone (337) 788-2864
2770 3rd Ave
Ste 350
Lake Charles, LA 70601
Phone (337) 494-2750
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 320
Lake Charles, LA 70601
Phone (337) 494-6800
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
4345 Nelson Rd
Lake Charles, LA 70605
Phone (337) 480-7900
1701 Oak Park Blvd
Lake Charles, LA 70601
Phone (337) 494-3000
2770 3rd Ave
Ste 300
Lake Charles, LA 70601
Phone (337) 477-6061
Interoperability endpoints
- cgreenman5281915@direct.casso.us.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 301129 | LA | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2188534 | Medicaid | LA | |
| 301129 | Other | LA | LICENSE |
Other providers in Lake Charles, LA
- Natasha R. Green
- Sasha Green
- Tyson Ellis Green
- Ariel Margaurite Greene
- Ashley Lynn Greenman
- Kathleen Gregoire
- Latressa Gregoire
- Latasha Grice
- Caitlyn Jane Griebel
- Anne Griepsma
All providers in Lake Charles, LA · Internal Medicine Physician in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 27, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.