Rebecca L Green, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

430254 Issued in KS

Practice address

8200 W Central Ave
Suite 1
Wichita, KS 67212-9503

Phone

(316) 722-6260

Fax

(316) 721-8307

NPI assigned

Aug 12, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in KS

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

Specialty

Family Practice

Education

University of Kansas School of Med (KC/Wich/Sal), 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

West Wichita Family Physicians, P.a.Group PAC ID 5799745717, 37 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/EJDEBA
• Direct secure messaging: rebecca.green@wwfp.eclinicaldirectplus.com

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.

• West Wichita Family Physicians, P.a.

  • Family Medicine Physician
  • Wichita, KS
  • NPI 1043228984
  Medicare reassignment Care Compare group NPD
• West Wichita Family Physicians, P.a.

  • Ambulatory Surgical Clinic/Center
  • Wichita, KS
  • NPI 1790902617
  NPD
• West Wichita Family Physicians, P.a.

  • Family Medicine Physician
  • Wichita, KS
  • NPI 1902810302
  NPD

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124030127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8200 W CENTRAL AVE",
            "address_2": "SUITE 1",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672129503",
            "telephone_number": "316-722-6260",
            "fax_number": "316-721-8307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8200 W CENTRAL AVE",
            "address_2": "SUITE 1",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672129503",
            "telephone_number": "316-722-6260",
            "fax_number": "316-721-8307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "REBECCA",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "430254",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRAVELERS MEDICARE",
            "identifier": "P00182568",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED HEALTH SYSTEMS",
            "identifier": "OOS22419",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "104135",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Keyonia Green
• Kimerly Ann Green, COTA/L
• Kristen Jessica Green, COTA
• Kynsha L'Keyia Green
• Mark Stephen Green, PH.D., L.P.
• Ashleigh Heather Greene, TLMFT
• August Danielle Greene
• Mindy Lynn Greene, LMSW
• Shane Greene, LPN
• Bailee Greenhaw, LSCSW

• Family Medicine Physician in Wichita, KS
• Providers in Wichita, KS by specialty
• Family Medicine Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.