DR. JOHN MICHAEL GREELEY – Family Medicine Physician, NPI 1083621320

DR. JOHN MICHAEL GREELEY is a healthcare provider. based in Waterford, Connecticut. specializing in Family Medicine Physician. They hold a License No. 022369 (CT). The NPI Number for DR. JOHN MICHAEL GREELEY is 1083621320

Main info

Male
48 Years Of Experience
Accepts Medicare Assignment
Name
DR. JOHN MICHAEL GREELEY
NPI
1083621320
Phone
(860) 439-0636
Address
196 PARKWAY S
Enumeration Date
1 August 2006
Last Update Date
26 February 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8602765144
Graduation Year
1978 (48 years ago)
PAC ID
6507962503
Group Practice PAC ID
1153573902
Professional Enrollment ID
I20070614000500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for DR. JOHN MICHAEL GREELEY

  • Parkway, Tramore, Waterford City Metropolitan District, County Waterford, Munster, Ireland

    SUITE 201B

    WATERFORD, CT 063851234

    Phone: (860) 439-0636

    Fax: (860) 439-0711

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2007-06-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20070614000500IFamily PracticeCTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 06385)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1153573902View full group profile

Reviews

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Frequently asked questions

What is the standard ID for DR. JOHN MICHAEL GREELEY in the U.S.?
In the U.S., DR. JOHN MICHAEL GREELEY is identified by NPI 1083621320.
Does the public listing show DR. JOHN MICHAEL GREELEY as active?
DR. JOHN MICHAEL GREELEY's NPI record reflects an active status in NPPES.
Which specialty label fits DR. JOHN MICHAEL GREELEY?
NPPES ties DR. JOHN MICHAEL GREELEY to Family Medicine Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to DR. JOHN MICHAEL GREELEY?
The directory associates DR. JOHN MICHAEL GREELEY with Waterford, Connecticut. Check all listed addresses for suites or satellite offices.
Why is information missing for DR. JOHN MICHAEL GREELEY?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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