Catherine Elizabeth Greene, MD
Individual provider Active NPI Family Medicine Physician · Godfrey, IL
NPI 1194415034 · NPPES record last updated Jun 4, 2026
Key facts
- NPI
- 1194415034
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 125.081809 (IL)
- Practice address
- 5213 Godfrey Rd Ste 110
Godfrey, IL 62035-2510 - Phone
- (618) 619-3330
- Fax
- (618) 619-3385
- NPI assigned
- May 12, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230523000569 | IL | Order and Referring Only - Family Practice |
7911363684 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fairview Heights Medical Group SC | Past | Accepting new patients | |
| Fairview Heights Medical Group SC | Past | Accepting new patients |
Interoperability endpoints
- catherine.greene.1@9559.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 125.081809 | IL | Yes |
Addresses
Primary practice location
5213 Godfrey Rd Ste 110
Godfrey, IL 62035-2510
Mailing address
PO Box 959203
Saint Louis, MO 63195-9203
Phone (618) 619-3330
Other practice location 1
2 Memorial Dr
Alton, IL 62002-6723
Phone (618) 433-7901
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2 | Health Information Exchange (HIE) |
Other providers in Godfrey, IL
- Daphne Joanna Gonzalez Aponte
- Stanley Gooding
- Jennifer Sue Gottlob
- Kara Marie Govreau
- Rhonda Nicole Green
- Siera Meagan Gries
- Jaime N Haar
- Robert Frank Hamilton
- Kayla Hartigan
- Karen Janine Hatch
All providers in Godfrey, IL · Family Medicine Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 4, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.