NPIMap

Individual provider Active NPI

Evan Lynell Green, M.D.

  • Emergency Medicine Physician
  • Lafayette, CO
National Provider Identifier
1104138098
Registry record updated Jun 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
DR0052131 Issued in CO
Practice address
200 Exempla Cir
Lafayette, CO 80026-3370
Phone
(303) 689-4000
NPI assigned
Jul 8, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 4301097200 MI
Emergency Medicine Physician 207P00000X DR0052131 CO Primary

Addresses

Primary practice location

200 Exempla Cir
Lafayette, CO 80026-3370

Mailing address

3501 Quivas St
Denver, CO 80211-3053
Phone (719) 321-5027

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130802000590 CO Practitioner - Emergency Medicine 3577704543 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Colorado School of Medicine, Denver, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

16320 W 64TH Ave
Arvada, CO 80007-7415
Phone (303) 925-4560

7000 E Hampden Ave
Denver, CO 80224-3012
Phone (330) 925-4199

760 Warner Dr
Golden, CO 80401-5297
Phone (303) 925-4360

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.04 of 100Reported as group
Quality
86.21
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
88.65 of 100Reported as group
Quality
86.65
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DR0052131COMDEmergency Medicine Physician
4301097200MIMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Usacs Community Emergency Services of Colorado, Inc. Emergency Medicine CurrentSince Dec 15, 2021 Accepting new patients
Usacs Community Emergency Services of Colorado, Inc. Emergency Medicine CurrentSince Dec 15, 2021 Accepting new patients
Usacs of Colorado Inc Emergency Medicine CurrentSince Dec 15, 2021 Accepting new patients
Emergency Service Physicians, Inc. Emergency Medicine CurrentSince Jul 1, 2013 Accepting new patients
Usacs of Colorado Inc Emergency Medicine CurrentSince Dec 15, 2021 Accepting new patients
Emergency Service Physicians, Inc. Emergency Medicine CurrentSince Jul 1, 2013 Accepting new patients
Usacs of Colorado, Inc Emergency Medicine Current Accepting new patients
Usacs Community Emergency Services of Colorado, Inc. Emergency Medicine Current Accepting new patients

Locations

7000 E Hampden Ave
Denver, CO 80224
Phone (330) 925-4199

200 Exempla Cir
Lafayette, CO 80026
Phone (303) 689-4110

8515 W Coal Mine Ave
Littleton, CO 80123
Phone (720) 573-5020

7700 S Broadway
Littleton, CO 80122
Phone (303) 269-4786

11900 Grant St
Northglenn, CO 80233
Phone (303) 812-5095

6500 W 104th Ave
Westminster, CO 80020
Phone (720) 573-5000

8300 W 38th Ave
Wheat Ridge, CO 80033
Phone (303) 425-2015

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 and National Provider Directory roles.

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": "1278547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371427200000",
    "number": "1104138098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 QUIVAS ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802113053",
            "telephone_number": "719-321-5027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 EXEMPLA CIR",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800263370",
            "telephone_number": "303-689-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "EVAN",
        "middle_name": "LYNELL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-08",
        "last_updated": "2013-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "4301097200",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CO",
            "license": "DR0052131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, CO

Sources for this page

Verify at the official NPI Registry.