Individual provider Active NPI

Jared Green, DO

  • Cardiovascular Disease Physician
  • West Reading, PA
National Provider Identifier
1104912708
Registry record updated Aug 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
OS-013715 Issued in PA
Practice address
301 S 7TH Ave
Suite 2020
West Reading, PA 19611-1410
Phone
(610) 375-6565
Fax
(610) 375-2065
NPI assigned
Oct 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X OS 013715 PA
Cardiovascular Disease Physician 207RC0000X OS-013715 PA Primary

Addresses

Primary practice location

301 S 7TH Ave
Suite 2020
West Reading, PA 19611-1410

Mailing address

PO Box 13579
Reading, PA 19612-3579
Phone (484) 628-0796

Other identifiers 1

IdentifierTypeStateIssuer
101945813MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20070328000212 PA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 7416051610 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Philadelphia College of Osteopathic Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Tower Health Medical GroupGroup PAC ID 7618889213, 578 clinicians
Reading HospitalGroup PAC ID 7618886490, 179 clinicians

Practice addresses (Care Compare)

2610 Keiser Blvd
Wyomissing, PA 19610-3333
Phone (484) 750-3950

301 S 7TH Ave
Suite 2020
West Reading, PA 19611-1495
Phone (610) 375-6565

420 S 5TH Ave
West Reading, PA 19611-2143

Hospital & facility affiliations

  • Reading Hospital Hospital, West Reading, PA, CCN 390044
  • Pottstown Hospital Hospital, Pottstown, PA, CCN 390123
  • Penn State Health St. Joseph Hospital, Reading, PA, CCN 390096
  • Surgical Institute of Reading Hospital, Wyomissing, PA, CCN 390316
  • Phoenixville Hospital Hospital, Phoenixville, PA, CCN 390127

Merit-based Incentive Payment System (MIPS)

Final score
85.14 of 100Reported as group
Quality
74.13
Promoting interoperability
98
Improvement activities
40
Cost
78.01

Merit-based Incentive Payment System (MIPS)

Final score
88.1 of 100Reported as group
Quality
77.19
Promoting interoperability
98
Improvement activities
40
Cost
79.03

Merit-based Incentive Payment System (MIPS)

Final score
84.71 of 100Reported as group
Quality
73.34
Promoting interoperability
97
Improvement activities
40
Cost
78.18

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS 013715PAMDInternal Medicine Physician
OS-013715PAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Phoenixville Clinic Company LLC CurrentSince Jul 21, 2022 Accepting new patients
Phoenixville Clinic Company LLC CurrentSince Jul 21, 2022 Accepting new patients
Tower Health Medical Group Internal Medicine Current Accepting new patients
Tower Health Medical Group CurrentSince Mar 31, 2016 Accepting new patients
Phoenixville Clinic Company LLC Cardiovascular Disease Current Accepting new patients
Reading Hospital CurrentSince May 1, 2024 Accepting new patients
Reading Hospital Current Accepting new patients
Reading Hospital CurrentSince May 1, 2024 Accepting new patients
Tower Health Medical Group Internal Medicine CurrentSince Mar 31, 2016 Accepting new patients
Reading Professional Services Past Accepting new patients

Locations

31 Industrial Dr
Ste 150
Hamburg, PA 19526
Phone (610) 376-8671

824 Main St
Ste 306
Phoenixville, PA 19460
Phone (610) 983-1530

140 Nutt Rd
Phoenixville, PA 19460
Phone (610) 983-1000

296 W Ridge Pike
Royersford, PA 19468
Phone (484) 706-9465

206 S 6th Ave
West Reading, PA 19611
Phone (484) 628-5437

420 S 5th Ave
West Reading, PA 19611
Phone (484) 628-3637

301 S 7th Ave
Ste 130
West Reading, PA 19611
Phone (610) 988-4630

301 S 7th Ave
Ste 2020
West Reading, PA 19611

2610 Keiser Blvd
Wyomissing, PA 19610
Phone (484) 628-9127

1320 Broadcasting Rd
Ste 100
Wyomissing, PA 19610

1320 Broadcasting Rd
Ste 107
Wyomissing, PA 19610
Phone (484) 628-0319

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1606/brand/1/csg/101/fhir/r4

Organizations & group practices 10

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 11

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": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471564800000",
    "number": "1104912708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13579",
            "city": "READING",
            "state": "PA",
            "postal_code": "196123579",
            "telephone_number": "484-628-0796",
            "fax_number": "484-334-7026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 S 7TH AVE",
            "address_2": "SUITE 2020",
            "city": "WEST READING",
            "state": "PA",
            "postal_code": "196111410",
            "telephone_number": "610-375-6565",
            "fax_number": "610-375-2065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "JARED",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2016-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "OS 013715",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PA",
            "license": "OS-013715",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101945813",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Reading, PA

Sources for this page

Verify at the official NPI Registry.