Individual provider Active NPI

Adam L Greene, MD

  • Cardiovascular Disease Physician
  • Anderson, IN
National Provider Identifier
1083680763
Registry record updated Jun 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
01051990A Issued in IN
Practice address
141 W 22ND St Ste 109
Anderson, IN 46016-4315
Phone
(765) 646-8538
NPI assigned
Feb 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 01051990A IN Primary

Addresses

Primary practice location

141 W 22ND St Ste 109
Anderson, IN 46016-4315

Mailing address

141 W 22ND St Ste 109
Anderson, IN 46016-4315

Other practice location 1

1331 S A St
Elwood, IN 46036-1942
Phone (765) 552-4600

Other identifiers 1

IdentifierTypeStateIssuer
200116130MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address adam.greene.1@7598.direct.athenahealth.com St. Vincent Medical Group, Inc.

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041006000792 IN Practitioner - Cardiovascular Disease (Cardiology) 9436118395 Reassigns benefits to 5 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01051990AINMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Vincent Physician Services Hospital and Health Care Center CurrentSince Feb 16, 2011 Accepting new patients
St. Vincent Medical Group, Inc. Cardiovascular Disease Current Accepting new patients
St. Vincent Medical Group, Inc. CurrentSince Jun 10, 2010 Accepting new patients
Rush Memorial Hospital CurrentSince Apr 1, 2011 Accepting new patients
St Vincent Physician Services Hospital and Health Care Center CurrentSince Feb 16, 2011 Accepting new patients
St. Vincent Medical Group, Inc. CurrentSince Jun 10, 2010 Accepting new patients
New Castle Clinic Inc Cardiovascular Disease CurrentSince Mar 15, 2015 Accepting new patients
Rush Memorial Hospital Cardiovascular Disease CurrentSince Apr 1, 2011 Accepting new patients
New Castle Clinic Inc CurrentSince Mar 15, 2015 Accepting new patients
University Internal Medicine Associates, Inc. Cardiovascular Disease Past Accepting new patients
Rush Memorial Hospital Past Accepting new patients
Care Group LLC Cardiovascular Disease Past Accepting new patients

Locations

141 W 22nd St
Ste 109
Anderson, IN 46016
Phone (317) 871-6123

1331 S A St
Elwood, IN 46036
Phone (765) 552-4000

8240 Naab Rd
Ste 100
Indianapolis, IN 46260
Phone (317) 338-7450

8240 Naab Rd
Ste 155
Indianapolis, IN 46260
Phone (317) 338-7760

8840 Commerce Park Pl
Ste E
Indianapolis, IN 46268
Phone (317) 583-4420

8333 Naab Rd
Ste 335
Indianapolis, IN 46260
Phone (317) 338-5066

550 University Blvd
Indianapolis, IN 46202
Phone (217) 274-5000

8333 Naab Rd
Ste 400
Indianapolis, IN 46260
Phone (317) 338-5066

8433 Harcourt Rd
Ste 100
Indianapolis, IN 46260
Phone (317) 583-7702

8333 Naab Rd
#180B
Indianapolis, IN 46260
Phone (317) 338-6666

2209 John R Wooden Dr
Martinsville, IN 46151
Phone (765) 342-3364

1000 N 16th St
Ste 240
New Castle, IN 47362
Phone (765) 521-1461

1300 N Main St
Rushville, IN 46173
Phone (317) 802-3106

110 E 13th St
Rushville, IN 46173
Phone (765) 932-7063

323 Conrad Harcourt Way
Rushville, IN 46173
Phone (765) 932-4441

Interoperability endpoints

  • Direct secure messaging: adam.greene.1@7598.direct.athenahealth.com

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1140652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656028800000",
    "number": "1083680763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 W 22ND ST STE 109",
            "city": "ANDERSON",
            "state": "IN",
            "postal_code": "460164315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 W 22ND ST STE 109",
            "city": "ANDERSON",
            "state": "IN",
            "postal_code": "460164315",
            "telephone_number": "765-646-8538"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1331 S A St",
            "address_purpose": "LOCATION",
            "city": "Elwood",
            "state": "IN",
            "postal_code": "460361942",
            "country_code": "US",
            "telephone_number": "765-552-4600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREENE",
        "first_name": "ADAM",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-23",
        "last_updated": "2022-06-24",
        "certification_date": "2022-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IN",
            "license": "01051990A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200116130",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "adam.greene.1@7598.direct.athenahealth.com",
            "affiliation": "Y",
            "affiliationName": "St. Vincent Medical Group, Inc.",
            "address_1": "141 W 22nd St Ste 109",
            "city": "Anderson",
            "state": "IN",
            "country_code": "US",
            "postal_code": "460164315",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Anderson, IN

Sources for this page

Verify at the official NPI Registry.