KENNETH MYRON GREENE M.D. NPI 1497869903

NPI Information

  • NPI: 1497869903
  • Provider Name: KENNETH MYRON GREENE, M.D.
  • Classification: Internal Medicine - 207R00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • CLIA Number: 21D0875962
  • Address: 6701 N CHARLES ST STE 4104
    BALTIMORE, MD
    ZIP 21204
  • Phone: (410) 821-2800

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NPI Details

Kenneth Myron Greene, M.D. is an internal medicine in Baltimore, MD with 41 years of experience. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. Kenneth Myron Greene, M.D. NPI is 1497869903. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: VIRGINIA COMMONWEALTH UNIVERSITY, SCHOOL OF MEDICINE
Graduation Year:1984

The provider's business location address is:

6701 N CHARLES ST STE 4104
BALTIMORE, MD
ZIP 21204-808
Phone: (410) 821-2800
Fax: (410) 821-2804

The NPI 1497869903 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The CLIA number assigned to this NPI record is 21D0875962 - health main. organization with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Annual depression screening, 15 minutes (HCPCS:G0444)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Sarscov2 vac 50mcg/0.25ml im (HCPCS:91306)
  • Adm sarscov2 50mcg/0.25mlbst (HCPCS:0064A)
  • Influenza vaccine split virus, preservative free (HCPCS:90662)
  • Coronavirus vaccine 14 (HCPCS:91313)
  • Fee covid-19 vac 14 res (HCPCS:0134A)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
  • Administration of pneumococcal vaccine (HCPCS:G0009)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Administration of vaccine (HCPCS:90471)
  • Pneumococcal vaccine, 23-valent (HCPCS:90732)
  • Pneumococcal vaccine, 13-valent (HCPCS:90670)
  • Influenza vaccine, quadrivalent derived from recombinant dna (HCPCS:90682)
  • Removal of impacted ear wax (HCPCS:69210)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Transitional care management services for problem of high complexity (HCPCS:99496)

The enumeration date for this NPI number is 8/19/2006 and was last updated on 7/21/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207R00000XInternal MedicineD0037016MARYLANDYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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