DR. JOSEPH JUDAH GREENBERG (M.D.) – Internal Medicine Physician, NPI 1114169356

DR. JOSEPH JUDAH GREENBERG (M.D.) is a healthcare provider. based in St louis park, Minnesota. specializing in Internal Medicine Physician. They hold the professional credentials M.D.. They hold a License No. 51921 (MN). The NPI Number for DR. JOSEPH JUDAH GREENBERG (M.D.) is 1114169356

Main info

Male
Sole Proprietor
20 Years Of Experience
Accepts Medicare Assignment
Name
DR. JOSEPH JUDAH GREENBERG (M.D.)
NPI
1114169356
Phone
(952) 426-0138
Address
2888 JOPPA AVE S
Enumeration Date
2 April 2009
Last Update Date
18 September 2024

Doctor Profile

Medical School Name
JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Secondary Phone
-
Graduation Year
2006 (20 years ago)
PAC ID
7012049794
Group Practice PAC ID
3971407636
Professional Enrollment ID
I20100715000439
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience68
Completeness75
Years active:17State licenses:1Digital endpointsOther names

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Provider Addresses for DR. JOSEPH JUDAH GREENBERG (M.D.)

  • 2888, Joppa Avenue South, Triangle, Saint Louis Park, Hennepin County, Minnesota, 55416, United States

    APT 406

    ST LOUIS PARK, MN 554164182

    Phone: (952) 426-0138

    Type: Mailing

  • 5115 EXCELSIOR BLVD STE 712

    ST LOUIS PARK, MN 554162906

    Phone:

    Type: Mailing

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: 2010-07-15

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
I20100715000439IGeneral PracticeMNTBD

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 55416)

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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: 3971407636View full group profile

Reviews

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Frequently asked questions

Is DR. JOSEPH JUDAH GREENBERG (M.D.) listed with a National Provider Identifier?
Yes — DR. JOSEPH JUDAH GREENBERG (M.D.) has NPI 1114169356 on file in the registry.
Active or inactive — what applies to DR. JOSEPH JUDAH GREENBERG (M.D.)?
You should see DR. JOSEPH JUDAH GREENBERG (M.D.) as active in CMS-hosted NPPES data.
What area of care is associated with DR. JOSEPH JUDAH GREENBERG (M.D.)?
DR. JOSEPH JUDAH GREENBERG (M.D.)'s record emphasizes Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Is DR. JOSEPH JUDAH GREENBERG (M.D.) located near St Louis Park?
DR. JOSEPH JUDAH GREENBERG (M.D.) currently maps to St Louis Park, Minnesota in this extract.
When was this NPI issued?
Enumeration for DR. JOSEPH JUDAH GREENBERG (M.D.) is noted as April 2, 2009 where the registry provides it.

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