Active NPI
Jeremy Green, MD
- Urology Physician
- Annapolis, MD
National Provider Identifier
1104403021
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- D0107198
- Practice address
- 600 Ridgely Ave
Annapolis, MD 21401-1001 - Phone
- (410) 266-8049
- Fax
- (410) 266-0895
- NPI assigned
- Mar 26, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | D0107198 | MD | Primary |
Addresses
Primary practice location
600 Ridgely Ave
Annapolis, MD 21401-1001
Mailing address
600 Ridgely Ave
Annapolis, MD 21401-1001
Phone (410) 266-8049
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Interoperability endpoints
- jeremy.green@xdr.hhchealthdirect.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788220800000",
"number": "1104403021",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 RIDGELY AVE",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214011001",
"telephone_number": "410-266-8049",
"fax_number": "410-266-0895"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 RIDGELY AVE",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214011001",
"telephone_number": "410-266-8049",
"fax_number": "410-266-0895"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREEN",
"first_name": "JEREMY",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-03-26",
"last_updated": "2026-09-01",
"certification_date": "2026-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "MD",
"license": "D0107198",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Annapolis, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.