Active NPI
Richard L. Green, M.D.
- Allergy Physician
- Pittsburgh, PA
National Provider Identifier
1164427480
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy Physician
- License
- MD011917E
- Practice address
- 2585 Freeport Rd Ste 210
Pittsburgh, PA 15238-1426 - Phone
- (412) 828-3800
- Fax
- (412) 828-8561
- NPI assigned
- Jun 14, 2005
- 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 |
|---|---|---|---|---|
| Allergy Physician | 207KA0200X | MD011917E | PA | Primary |
Addresses
Primary practice location
2585 Freeport Rd Ste 210
Pittsburgh, PA 15238-1426
Mailing address
2585 Freeport Rd Ste 210
Pittsburgh, PA 15238-1426
Phone (412) 828-3800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0006558160002 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685923200000",
"number": "1164427480",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2585 FREEPORT RD STE 210",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152381426",
"telephone_number": "412-828-3800",
"fax_number": "412-828-8561"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2585 FREEPORT RD STE 210",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152381426",
"telephone_number": "412-828-3800",
"fax_number": "412-828-8561"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREEN",
"first_name": "RICHARD",
"middle_name": "L.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-14",
"last_updated": "2023-06-05",
"certification_date": "2023-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "207KA0200X",
"taxonomy_group": "",
"desc": "Allergy & Immunology, Allergy",
"state": "PA",
"license": "MD011917E",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0006558160002",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pittsburgh, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.