NPI Details
DR. George Ellis Green, M.D is a pulmonary disease internal medicine in Gilroy, CA with 46 years of experience. The provider is an internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. DR. George Ellis Green, M.D NPI is 1811074875. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
Education
Medical School: MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
Graduation Year:1980
The provider's business location address is:
9460 N NAME UNO
#110
GILROY, CA
ZIP 95020-537
Phone: (408) 842-4466
Fax: (408) 848-1355
The NPI 1811074875 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 05D0857656 - physician office 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, 30-39 minutes (HCPCS:99214)
- Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
- Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
- Injection, methylprednisolone acetate, 80 mg (HCPCS:J1040)
- Administration of influenza virus vaccine (HCPCS:G0008)
- Influenza vaccine, quadrivalent, preservative free, 0.5 ml dosage (HCPCS:90686)
- Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
- Injection, lidocaine hcl for intravenous infusion, 10 mg (HCPCS:J2001)
- Injection of drug or substance under skin or into muscle (HCPCS:96372)
- Transitional care management services for problem of moderate complexity (HCPCS:99495)
- Removal of impacted ear wax (HCPCS:69210)
- Blood glucose (sugar) test performed by hand-held instrument (HCPCS:82962)
- Injection, ceftriaxone sodium, per 250 mg (HCPCS:J0696)
- Destruction of precancer skin growth, 1 growth (HCPCS:17000)
The enumeration date for this NPI number is 11/1/2006 and was last updated on 11/11/2010.
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 |
| 1 | 207RP1001X | Internal Medicine | Pulmonary Disease | G454410 | CALIFORNIA | Yes |
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 Identifier |
Other Provider Identifier Type |
Other Provider Identifier State |
Other Provider Identifier Issuer |
| 1 | 00G454410 | MEDICARE ID-TYPE UNSPECIFIED | CALIFORNIA | MEDICARE NUMBER |
| 2 | A50042 | MEDICARE UPIN | CALIFORNIA | |
