Kyle Marcus Green, MD

Primary specialty

Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X

License

A201155 Issued in CA

Practice address

835 Third Ave Ste a
Chula Vista, CA 91911-1352

Phone

(619) 425-7755

NPI assigned

Apr 3, 2019

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Ophthalmology

Education

University of Southern California Keck School of Medicine, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

California Retina Associates, LPGroup PAC ID 4284676966, 20 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• El Centro Regional Medical Center Hospital, El Centro, CA, CCN 050045

Merit-based Incentive Payment System (MIPS)

Final score

80.02 of 100Reported as group

Quality

75.68

Promoting interoperability

78

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: kgreen@retinadrs.intellechartdirect.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• California Retina Associates, LP

  • Ophthalmology Physician
  • Chula Vista, CA
  • NPI 1114033404
  Medicare reassignment Care Compare group NPD
• Afsaneh Amini, O.D., a Professional Optometric Corporation

  • Optometrist
  • Escondido, CA
  • NPI 1598581217
  NPD
• El Centro Regional Medical Center

  • Rural Health Clinic/Center
  • Calexico, CA
  • NPI 1598840258
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• El Centro Regional Medical Center

  • General Acute Care Hospital
  • El Centro, CA
  • NPI 1861409823
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1554249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756080000000",
    "number": "1013479427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "835 THIRD AVE STE A",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919111352",
            "telephone_number": "619-425-7755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "835 THIRD AVE STE A",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919111352",
            "telephone_number": "619-425-7755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "KYLE",
        "middle_name": "MARCUS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-03",
        "last_updated": "2025-08-25",
        "certification_date": "2025-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "CA",
            "license": "A201155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roberto Gratianne, M.D.
• Alexandra Jean Gray, OTR/L
• Jordan Elizabeth Gray, OTR/L
• Maria K Gray, MD
• Wendy Grays, RN
• Laura Louise Green, RN
• Edward William Greene
• Komoa Greene
• Mayra Greene
• Gregory J Wiener M D Professional Corporation

• Retina Specialist (Ophthalmology) Physician in Chula Vista, CA
• Providers in Chula Vista, CA by specialty
• Retina Specialist (Ophthalmology) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.