JASON L GREENBAUM (MD) – Emergency Medicine Physician, NPI 1649205493

JASON L GREENBAUM (MD) is a healthcare provider. based in Stamford, Connecticut. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. 4301082237 (MI). The NPI Number for JASON L GREENBAUM (MD) is 1649205493

Main info

Male
24 Years Of Experience
Accepts Medicare Assignment
Name
JASON L GREENBAUM (MD)
NPI
1649205493
Phone
(646) 242-3799
Address
27 SUSSEX PL
Enumeration Date
11 July 2006
Last Update Date
21 April 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9786323420
Graduation Year
2002 (24 years ago)
PAC ID
7517963390
Group Practice PAC ID
1658262605
Professional Enrollment ID
I20220815002214
Address ID
MA014401336GA242XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness75
Years active:19State licenses:2Digital endpointsOther names

839 EMERGENCY MEDICINE in CT

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Provider Addresses for JASON L GREENBAUM (MD)

  • 27, Sussex Place, Belltown, Stamford, Western Connecticut Planning Region, Connecticut, 06905, United States

    STAMFORD, CT 069052931

    Phone: (646) 242-3799

    Type: Mailing

  • 30, Shelburne Road, Stamford, Fairfield County, Connecticut, 06902, United States

    STAMFORD, CT 069023628

    Phone: (330) 493-4443

    Fax: (330) 493-8677

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $17.

Total Amount is formed as General ($17) + Research ($0) + Ownership ($0) = $17.

Last reported payment date: 2024-04-30 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($17).

Total Amount

$17

General + Research + Ownership

Payments

1

Total payment records

General Amount

$17

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-30

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2022-08-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 4 Medicare enrollment records; no due dates published yet.

Enrollment records

4

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
I20061019000026IEmergency MedicineCTTBD
I20101018000809IEmergency MedicineNYTBD
I20200401000935IEmergency MedicineINTBD
I20220815002214IEmergency MedicineMATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99284Emergency department visit with moderate level of medical decision making7169$0
99285Emergency department visit with high level of medical decision making6261$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only1818$0
99291Critical care, first 30-74 minutes1717$0
99283Emergency department visit with low level of medical decision making1212$0
View full utilization report →

Insurance plans in this area (ZIP 06905)

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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: 1658262605View full group profile
NameSpecialtyState
Emergency MedicineMA
Family Practice, HospitalistMA
Certified Registered Nurse Anesthetist (Crna)CT
A N E S T H E S I O L O G YMA
Certified Registered Nurse Anesthetist (Crna)MA
-IL
Emergency MedicineMA
-MA
Diagnostic RadiologyNH
Certified Registered Nurse Anesthetist (Crna)MA

Reviews

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Frequently asked questions

How do I look up JASON L GREENBAUM (MD) by NPI?
Use NPI 1649205493 when you need to reference JASON L GREENBAUM (MD) in forms, claims, or directories.
Does this profile mean JASON L GREENBAUM (MD) is currently active?
Yes — JASON L GREENBAUM (MD) appears active in the national provider directory.
Does JASON L GREENBAUM (MD) list a primary specialty?
If you are matching referrals, note Emergency Medicine Physician for JASON L GREENBAUM (MD). Clinical services aligned with this taxonomy classification.
What location shows for JASON L GREENBAUM (MD)?
We surface Stamford, Connecticut for JASON L GREENBAUM (MD) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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