Active NPI
Green MSP LLC
- Durable Medical Equipment & Medical Supplies
- Phoenix, AZ
National Provider Identifier
1063348829
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- GREEN MSP LLC
- Practice address
- 4539 N 22ND St Ste 29530
Phoenix, AZ 85016-4639 - Phone
- (770) 383-0468
- NPI assigned
- Jun 19, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Ali Bahadur
- Title
- Ceo
- Phone
- (770) 383-0468
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
4539 N 22ND St Ste 29530
Phoenix, AZ 85016-4639
Mailing address
15 Sweet Gracie Holw NW
Cartersville, GA 30120-7734
Phone (770) 383-0468
National Provider Directory
National Provider DirectoryLocations
4539 N 22nd St
Ste 29530
Phoenix, AZ 85016
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1781827200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1781827200000",
"number": "1063348829",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 SWEET GRACIE HOLW NW",
"city": "CARTERSVILLE",
"state": "GA",
"postal_code": "301207734",
"telephone_number": "770-383-0468"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4539 N 22ND ST STE 29530",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850164639",
"telephone_number": "770-383-0468"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GREEN MSP LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-06-19",
"last_updated": "2026-06-19",
"certification_date": "2026-06-19",
"status": "A",
"authorized_official_last_name": "BAHADUR",
"authorized_official_first_name": "ALI",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "770-383-0468",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.