Individual provider Active NPI

Hilma Lisa Green, M.D.

  • Internal Medicine Physician
  • Lake Charles, LA
National Provider Identifier
1164629754
Registry record updated Mar 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
01073150A Issued in IN
Practice address
4150 Nelson Rd
BLDG G, Suite 7
Lake Charles, LA 70605-4148
Phone
(337) 562-3773
Fax
(337) 562-3697
NPI assigned
Jun 28, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD.201720 LA
Internal Medicine Physician 207R00000X 01073150A IN Primary
Pediatrics Physician 208000000X MD.201720 LA

Addresses

Primary practice location

4150 Nelson Rd
BLDG G, Suite 7
Lake Charles, LA 70605-4148

Mailing address

PO Box 9224
Belfast, ME 04915-9224
Phone (877) 848-1457

Other identifiers 1

IdentifierTypeStateIssuer
1018953MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20140311001386 IN Practitioner - Internal MedicinePractitioner - Pediatric Medicine 5496843443 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.201720LAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eskenazi Medical Group Inc Internal Medicine CurrentSince Feb 1, 2014 Accepting new patients
The Health and Hospital Corporation of Marion County CurrentSince Feb 1, 2014 Accepting new patients
Lake Area Physician Services LLC Past Accepting new patients
Everside Health, LLC Past Accepting new patients
Major Hospital Past Accepting new patients
Lake Area Physician Services LLC Past Accepting new patients

Locations

5515 W 38th St
Indianapolis, IN 46254
Phone (317) 880-3838

720 Eskenazi Ave
Indianapolis, IN 46202
Phone (317) 880-0000

2732 W Michigan St
Indianapolis, IN 46222
Phone (317) 554-4600

720 Eskenazi Ave
Bldg 5TH
Indianapolis, IN 46202
Phone (317) 880-3818

720 Eskenazi Ave
Fl 2
Indianapolis, IN 46202
Phone (317) 278-5316

720 Eskenazi Ave
Fl 5
Indianapolis, IN 46202
Phone (317) 880-6000

Interoperability endpoints

  • Direct secure messaging: hilma.green.1@14940.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/2298/brand/1/csg/43/fhir/r4

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.

NPI Registry JSON

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

{
    "created_epoch": "1182988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773273600000",
    "number": "1164629754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9224",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049159224",
            "telephone_number": "877-848-1457",
            "fax_number": "615-465-3017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4150 NELSON RD",
            "address_2": "BLDG G, SUITE 7",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706054148",
            "telephone_number": "337-562-3773",
            "fax_number": "337-562-3697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "HILMA",
        "middle_name": "LISA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-28",
        "last_updated": "2026-03-12",
        "certification_date": "2026-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "MD.201720",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01073150A",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "LA",
            "license": "MD.201720",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1018953",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Charles, LA

Sources for this page

Verify at the official NPI Registry.