DR. JACOB T GREEN M.D. NPI 1932384773

NPI Information

  • NPI: 1932384773
  • Provider Name: DR. JACOB T GREEN, M.D.
  • Classification: Internal Medicine - 207RI0011X
  • Specialization: Interventional Cardiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 6750 E BAYWOOD AVE
    301
    MESA, AZ
    ZIP 85206
  • Phone: (480) 835-6100

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NPI Details

DR. Jacob T Green, M.D. is an interventional cardiology internal medicine in Mesa, AZ with 24 years of experience. The provider is an area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. DR. Jacob T Green, M.D. NPI is 1932384773. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF ARIZONA COLLEGE OF MEDICINE
Graduation Year:2002

The provider's business location address is:

6750 E BAYWOOD AVE
301
MESA, AZ
ZIP 85206-749
Phone: (480) 835-6100
Fax: (480) 505-5295

The NPI 1932384773 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.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
  • Anticoagulant management of patient taking warfarin (HCPCS:93793)
  • Ultrasound of heart with color-depicted blood flow, rate, direction and valve function (HCPCS:93306)
  • Injection, regadenoson, 0.1 mg (HCPCS:J2785)
  • Blood test, clotting time (HCPCS:85610)
  • Follow-up hospital inpatient care per day, typically 25 minutes (HCPCS:99232)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries (HCPCS:A9555)
  • Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes (HCPCS:99152)
  • Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician (HCPCS:93015)
  • Follow-up hospital inpatient care per day, typically 15 minutes (HCPCS:99231)
  • Ultrasound of heart with color-depicted blood flow, rate, direction and valve function (HCPCS:93306)
  • Nuclear medicine studies of blood flow in heart muscle at rest and with stress (HCPCS:78492)
  • Technetium tc-99m sestamibi, diagnostic, per study dose (HCPCS:A9500)
  • Nuclear medicine studies of heart muscle at rest and with stress and spect (HCPCS:78452)
  • Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist (HCPCS:93458)
  • Initial hospital inpatient care per day, typically 70 minutes (HCPCS:99223)
  • Ultrasound of both sides of head and neck blood flow (HCPCS:93880)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional (HCPCS:99211)
  • Insertion of stents with balloon dilation of coronary artery or branch, single artery or branch (HCPCS:92928)
  • Electrocardiogram (ecg) up to 30 days continuous with review and report by health care professional (HCPCS:93228)
  • Electrocardiogram (ecg) up to 30 days continuous with transmission of patient triggered events with review and report by health care professional (HCPCS:93229)
  • External shock to heart to regulate heart beat (HCPCS:92960)
  • Electrocardiogram (ecg) 2-day continuous with review and report by health care professional (HCPCS:93224)
  • Replacement of aortic valve through the skin and femoral artery (HCPCS:33361)
  • Insertion of tube in coronary artery for diagnosis with review by radiologist (HCPCS:93454)
  • Insertion of tube in left lower heart chamber, coronary artery and bypass graft for diagnosis with review by radiologist (HCPCS:93459)
  • Follow-up hospital inpatient care per day, typically 35 minutes (HCPCS:99233)
  • New patient office or other outpatient visit, 60-74 minutes (HCPCS:99205)
  • Limited ultrasound scan of abdomen (HCPCS:76705)
  • Coronary angioplasty and stenting (HCPCS:NAN05)

The enumeration date for this NPI number is 12/28/2007 and was last updated on 6/8/2016.

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 Medicine054383GEORGIANo
2207RC0000XInternal MedicineCardiovascular Disease41389ARIZONANo
3207RI0011XInternal MedicineInterventional Cardiology41389ARIZONAYes

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
1424562MEDICAIDARIZONA
2Z129557MEDICARE PINARIZONA

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: 11/21/2025

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