Individual provider Active NPI

Howard Alen Green, MD

  • Dermatology Physician
  • West Palm Beach, FL
National Provider Identifier
1053301655
Registry record updated Aug 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
ME0064233 Issued in FL
Practice address
120A Butler St
West Palm Beach, FL 33407
Phone
(561) 659-1510
Fax
(561) 659-0495
NPI assigned
Oct 25, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X ME0064233 FL Primary

Addresses

Primary practice location

120A Butler St
West Palm Beach, FL 33407

Mailing address

120A Butler St
West Palm Beach, FL 33407
Phone (561) 659-1510

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20101217000397 FL Practitioner - Dermatology 6204811078 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Boston University School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dermatology Associates of the Palm Beaches PLLCGroup PAC ID 6709861602, 13 clinicians

Practice addresses (Care Compare)

10335 N Military TRL
Suite a
Palm Beach Gardens, FL 33410-4634
Phone (561) 659-1510

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision25
Removal of tissue1-10
Removal of skin lesions2555
Removal of skin cancer599
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy649

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME0064233FLMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology Associates of the Palm Beaches PLLC Dermatology CurrentSince Jan 1, 2000 Accepting new patients

Locations

10335 N Military Trl
Ste A
Palm Beach Gardens, FL 33410
Phone (561) 622-6976

10111 Forest Hill Blvd
Rm 100
West Palm Bch, FL 33414
Phone (561) 753-8366

120 Butler St
Ste A
West Palm Beach, FL 33407
Phone (561) 659-1510

400 Executive Center Dr
Ste 110
West Palm Beach, FL 33401
Phone (561) 429-2401

1551 Forum Pl
Ste 100A
West Palm Beach, FL 33401
Phone (561) 659-1510

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.

NPI Registry JSON

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

{
    "created_epoch": "1130198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282089600000",
    "number": "1053301655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120A BUTLER ST",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "33407",
            "telephone_number": "561-659-1510",
            "fax_number": "561-659-0495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120A BUTLER ST",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "33407",
            "telephone_number": "561-659-1510",
            "fax_number": "561-659-0495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "HOWARD",
        "middle_name": "ALEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-25",
        "last_updated": "2010-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME0064233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

Verify at the official NPI Registry.