Individual provider Active NPI

Neil Green, M.D.

  • Diagnostic Radiology Physician
  • Fredericksburg, VA
National Provider Identifier
1093768376
Registry record updated Feb 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
0101056986 Issued in VA
Practice address
1001 Sam Perry Blvd
Fredericksburg, VA 22401-4453
Phone
(540) 361-1000
Fax
(540) 361-7010
NPI assigned
May 18, 2006
Last updated
Feb 8, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 0101056986 VA Primary

Addresses

Primary practice location

1001 Sam Perry Blvd
Fredericksburg, VA 22401-4453

Mailing address

10401 Spotsylvania Ave
Suite 200
Fredericksburg, VA 22408-8606
Phone (540) 361-1000

Other identifiers 2

IdentifierTypeStateIssuer
54-0972713OtherTAX ID
54-1364028OtherTAX ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20100405000530 VA Practitioner - Diagnostic Radiology 5092780494 Reassigns benefits to 6 organizations
I20241121002708 FL Practitioner - Diagnostic Radiology 5092780494 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Baylor College of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dominion Imaging LLCGroup PAC ID 4688003445, 45 clinicians

Practice addresses (Care Compare)

1001 Sam Perry Blvd
Fredericksburg, VA 22401-4453
Phone (540) 741-1571

109 Hunt LN
Fredericksburg, VA 22401-5182
Phone (540) 361-1000

1201 Sam Perry Blvd
Suite 102
Fredericksburg, VA 22401-4490
Phone (540) 741-7025

736 Battlefield Blvd N
Chesapeake, VA 23320-4941
Phone (757) 312-8121

780 SW 75TH Ter
Plantation, FL 33317-3230
Phone (540) 361-1000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101056986VAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chesapeake Diagnostic Imaging Centers, LLC Diagnostic Radiology CurrentSince Jun 29, 2020 Accepting new patients
Meritus Medical Center Inc Diagnostic Radiology CurrentSince Oct 24, 2025 Accepting new patients
Radiologic Associates of Fredericksburg LTD Diagnostic Radiology CurrentSince Jul 1, 1998 Accepting new patients
Chesapeake Radiologists LTD Diagnostic Radiology CurrentSince Jul 1, 2020 Accepting new patients
Medical Imaging of Fredericksburg, LLC CurrentSince Mar 1, 2002 Accepting new patients
Chesapeake Diagnostic Imaging Centers, LLC Diagnostic Radiology CurrentSince Jun 29, 2020 Accepting new patients

Locations (25 of 37)

11116 Medical Campus Rd
Hagerstown, MD 21742
Phone (301) 766-7600

1805 W City Dr
Ste H
Elizabeth City, NC 27909
Phone (252) 334-1602

1138 N Road St
Elizabeth Cty, NC 27909
Phone (252) 334-1602

534 Caratoke Hwy
Moyock, NC 27958
Phone (252) 435-6621

1021 Eden Way N
Ste 109
Chesapeake, VA 23320
Phone (757) 312-6267

1464 Mount Pleasant Rd
Ste 13
Chesapeake, VA 23322
Phone (757) 410-4580

1554 River Birch Run N
Chesapeake, VA 23320
Phone (757) 671-1144

648 Grassfield Pkwy
Ste 1
Chesapeake, VA 23322
Phone (757) 312-6797

676 Kingsborough Sq
Ste A
Chesapeake, VA 23320
Phone (757) 547-4155

736 Battlefield Blvd N
Chesapeake, VA 23320
Phone (757) 312-6124

844 Battlefield Blvd N
Chesapeake, VA 23320
Phone (757) 312-6746

10 Stafford Lakes Pkwy
Ste 102
Fredericksburg, VA 22406
Phone (540) 737-6144

1001 Sam Perry Blvd
Fredericksburg, VA 22401
Phone (540) 741-1100

10401 Spotsylvania Ave
Ste 101
Fredericksburg, VA 22408
Phone (540) 741-7720

10401 Spotsylvania Ave
Ste 103
Fredericksburg, VA 22408
Phone (540) 741-0555

10401 Spotsylvania Ave
Ste 200
Fredericksburg, VA 22408
Phone (540) 842-6884

10401 Spotsylvania Ave
Ste 203
Fredericksburg, VA 22408
Phone (540) 654-9118

10401 Spotsylvania Ave
Ste 207
Fredericksburg, VA 22408

1101 Sam Perry Blvd
Ste 115
Fredericksburg, VA 22401
Phone (540) 374-3250

1201 Sam Perry Blvd
Ste 102
Fredericksburg, VA 22401
Phone (540) 741-7025

1300 Hospital Dr
Ste 100
Fredericksburg, VA 22401
Phone (540) 741-3250

4600 Spotsylvania Pkwy
Fredericksburg, VA 22408
Phone (540) 498-4000

4900 Plank Rd
#101
Fredericksburg, VA 22407
Phone (540) 741-0679

5501 Plank Rd
#100
Fredericksburg, VA 22407
Phone (540) 741-3190

5501 Plank Rd
Ste 101
Fredericksburg, VA 22407
Phone (540) 741-3189

Organizations & group practices 8

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

Hospital & facility affiliations 6

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

NPI Registry JSON

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454889600000",
    "number": "1093768376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10401 SPOTSYLVANIA AVE",
            "address_2": "SUITE 200",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224088606",
            "telephone_number": "540-361-1000",
            "fax_number": "540-361-7010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 SAM PERRY BLVD",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224014453",
            "telephone_number": "540-361-1000",
            "fax_number": "540-361-7010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "NEIL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2016-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VA",
            "license": "0101056986",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "54-0972713",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "54-1364028",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

Verify at the official NPI Registry.