Provider Type Icon

DR. KERRY SCOTT GREEN M.D. NPI 1801835350


NPI Information

NPI: 1801835350
Provider Name: DR. KERRY SCOTT GREEN, M.D.
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Organization: KERRY S GREEN MD PLC

PECOS Registration: Yes

Address:
6112 E BROWN RD
MESA, AZ
ZIP 85205
Phone: (480) 924-4422
Get Directions

DR. Kerry Scott Green, M.D. is a family medicine in Mesa, AZ with 24 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Kerry Scott Green, M.D. NPI is 1801835350. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2000

The provider's business location address is:

6112 E BROWN RD
MESA, AZ
ZIP 85205-955
Phone: (480) 924-4422
Fax: (480) 924-8822

The NPI 1801835350 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 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.

  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Administration of pneumococcal vaccine (HCPCS:G0009)
  • Pneumococcal vaccine for injection into muscle (HCPCS:90670)
  • Injection beneath the skin or into muscle for therapy, diagnosis, or prevention (HCPCS:96372)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Injection, methylprednisolone acetate, 40 mg (HCPCS:J1030)
  • Destruction of 2-14 skin growths (HCPCS:17003)
  • Urinalysis, manual test (HCPCS:81002)
  • Physician certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imple (HCPCS:G0180)
  • Aspiration and/or injection of large joint or joint capsule (HCPCS:20610)
  • Routine EKG using at least 12 leads including interpretation and report (HCPCS:93000)
  • Destruction of skin growth (HCPCS:17000)
  • Measurement and graphic recording of total and timed exhaled air capacity (HCPCS:94010)
  • Removal of impact ear wax, one ear (HCPCS:69210)

The enumeration date for this NPI number is 6/6/2006 and was last updated on 10/25/2011.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine29662ARIZONAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1Z75604MEDICARE ID-TYPE UNSPECIFIEDARIZONA
2H52894MEDICARE UPINARIZONA

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.