Active NPI
Paul Michael Green, NP
- Nurse Practitioner
- Indianapolis, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 28139746A
- Practice address
- 1801 N Senate Blvd Ste 230
Indianapolis, IN 46202-1252 - Phone
- (317) 962-5820
- Fax
- (317) 962-3916
- NPI assigned
- Jul 10, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 71010148A | IN | |
| Nurse Practitioner | 363L00000X | 28139746A | IN | Primary |
Addresses
Primary practice location
1801 N Senate Blvd Ste 230
Indianapolis, IN 46202-1252
Mailing address
250 N Shadeland Ave Ste 200
Indianapolis, IN 46219-4959
Other practice location 1
720 Eskenazi Ave
Indianapolis, IN 46202-5187
Phone (317) 880-7666
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | pgreen@direct.iuhealth.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
720 Eskenazi Ave
Indianapolis, IN 46202-5187
Phone (317) 880-7666
Hospital & facility affiliations
- Eskenazi Health
Merit-based Incentive Payment System (MIPS)
- Final score
- 98.69 of 100
- Quality
- 80.42
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 81.89
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71010148A | IN | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eskenazi Medical Group Inc | Nurse Practitioner | Current | Accepting new patients |
Locations
720 Eskenazi Ave
Indianapolis, IN 46202
Phone (317) 880-0000
720 Eskenazi Ave
Fl 5
Indianapolis, IN 46202
Phone (317) 880-6000
Interoperability endpoints
- pgreen@direct.iuhealth.org
Organizations & group practices 1
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.
-
- Adult Medicine Physician
- Indianapolis, IN
- NPI 1730451063
Nurse Practitioner
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Indianapolis, IN
- NPI 1568407310
-
- Methadone Clinic
- Indianapolis, IN
- NPI 1760922249
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1594339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758067200000",
"number": "1013535582",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 N SHADELAND AVE STE 200",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462194959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1801 N SENATE BLVD STE 230",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462021252",
"telephone_number": "317-962-5820",
"fax_number": "317-962-3916"
}
],
"practiceLocations": [
{
"address_1": "720 Eskenazi Ave",
"address_purpose": "LOCATION",
"city": "Indianapolis",
"state": "IN",
"postal_code": "462025187",
"country_code": "US",
"telephone_number": "317-880-7666",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GREEN",
"first_name": "PAUL",
"middle_name": "MICHAEL",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-07-10",
"last_updated": "2025-09-17",
"certification_date": "2025-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IN",
"license": "71010148A",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IN",
"license": "28139746A",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "pgreen@direct.iuhealth.org",
"affiliation": "N",
"address_1": "1801 N Senate Blvd Ste 230",
"city": "Indianapolis",
"state": "IN",
"country_code": "US",
"postal_code": "462021252",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 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.