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JERRY GREENBERG MD PC
NPI 1205428976
Urology in Tucson, AZ

Active since February 04, 2021
6369 E TANQUE VERDE RD STE 160, TUCSON, AZ 85715(520) 403-7727 Get Directions Write a Review

NPPES record last updated: March 15, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 15, 2021, Feb 16, 2021, Feb 4, 2021 (3 updates tracked since 2021).

About Jerry Greenberg Md Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JERRY GREENBERG MD PC (NPI 1205428976) is a healthcare organization registered as an urology in Tucson, Arizona and active in the NPI registry since February 2021. The organization lists Jerry Greenberg, Owner/provider, as its authorized official.

NPPES Registry Identity

NPI1205428976
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameJERRY GREENBERG MD PC
Location Address6369 E TANQUE VERDE RD STE 160Tucson, AZ 85715-3833
Mailing Address6825 N Columbus BlvdTucson, AZ 85718-2511
Phone(520) 403-7727
Organization SubpartNo
Authorized OfficialJerry GreenbergOwner/provider · (520) 403-7727
Enumeration DateFebruary 4, 2021
Last NPPES UpdateMarch 15, 20213 updates tracked since enumeration
NPPES CertifiedMarch 15, 2021
✔ NPI 1205428976 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
6369 E TANQUE VERDE RD STE 160, Tucson, AZ 85715
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jerry Greenberg Md Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by October 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateArizonaEnrollment IDO20210316001637Non-DME Part B · Clinic/Group PracticeDue dateOctober 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Jerry Greenberg MD PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Jerry Greenberg, M.D.
Urology
NPI 1780643015
6565 E CARONDELET DR STE 155
Tucson, AZ 85710
(520) 849-8900
✔ PECOS✔ Accepts Medicare1.4 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jerry Greenberg MD PC's NPI number?

The NPI number for Jerry Greenberg MD PC is 1205428976. It was assigned to this organization in the NPPES registry on February 4, 2021.

Where is Jerry Greenberg MD PC located?

Jerry Greenberg MD PC is located at 6369 E Tanque Verde Rd Ste 160, Tucson, AZ 85715. The listed phone number is (520) 403-7727.

What is Jerry Greenberg MD PC's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Jerry Greenberg MD PC enrolled in Medicare?

Yes. Jerry Greenberg MD PC is registered in the Medicare PECOS enrollment system.

When is Jerry Greenberg MD PC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Arizona, Clinic/Group Practice) is due for revalidation by October 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Jerry Greenberg MD PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Urology) reassigns their Medicare billing to Jerry Greenberg MD PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Jerry Greenberg MD PC was last updated on March 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.