Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1043219967 Individual Practitioner Male Practitioner

Dr. Mark Louis Greenberg , MD

Pediatrics • Frontenac, MO

Professional Overview & Biography Verified Profile Summary

Dr. Mark Greenberg, MD is a registered healthcare professional specializing in Pediatrics in Frontenac, MO. Practice services are available at 585 TWIN FAWNS DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

585 Twin Fawns Dr

Frontenac, MO 631314717

Telephone 6025610367

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Frontenac, MO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 19.4 Yrs
Regional Practice Density
1 Specialists

Practicing in Frontenac, MO (1616 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-04-20
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License MO R7G09

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License AZ 21921

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
418677 (AZ)
Medicaid State Provider ID
200260860 (IN)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location April 20, 2026

Registered at 585 TWIN FAWNS DR, FRONTENAC, MO 631314717 (Tel: 6025610367)

📍
Updated Business Mailing Address April 20, 2026

Registered at 585 TWIN FAWNS DR, FRONTENAC, MO 631314717 (Tel: 6025610367)

📍
Updated Practice Location June 03, 2025

Registered at 4352 MANCHESTER AVE, SAINT LOUIS, MO 631102138 (Tel: 3144811615)

📍
Updated Business Mailing Address June 03, 2025

Registered at 4352 MANCHESTER AVE, SAINT LOUIS, MO 631102138 (Tel: 3144811615)

NPI Profile Active April 30, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location April 30, 2013

Registered at 727 E BETHANY HOME RD, SUITE A-101, PHOENIX, AZ 850142198 (Tel: 6025610367)

📍
Updated Business Mailing Address April 30, 2013

Registered at 727 E BETHANY HOME RD, SUITE A-101, PHOENIX, AZ 850142198 (Tel: 6025610367)

👤
Provider Name / Credentials Updated April 30, 2013

Recorded as MARK GREENBERG, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 30, 2013

Pediatrics (License #21921 in AZ)

🟢
Initial NPI Registration & Enumeration July 21, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1043219967
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 21, 2005
Last Update: April 20, 2026
Sole Proprietor: No

Mailing Address

585 Twin Fawns Dr

Frontenac, MO 631314717

Phone: 6025610367

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.