Active NPI
Richard Greene, MD
- Dermatology Physician
- Highland Park, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 163843
- Practice address
- 1160 Park Ave W Ste 3E
Highland Park, IL 60035-2271 - Phone
- (847) 926-3109
- Fax
- (847) 469-4061
- NPI assigned
- May 2, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 163843 | NY | Primary |
Addresses
Primary practice location
1160 Park Ave W Ste 3E
Highland Park, IL 60035-2271
Mailing address
1160 Park Ave W Ste 3E
Highland Park, IL 60035-2271
Phone (847) 926-3109
Other practice location 1
2150 S Clinton Ave
Rochester, NY 14618-2618
Phone (585) 256-0555
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, FL, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- Other, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1160 Park Ave W
Suite 3E
Highland Park, IL 60035-2271
Phone (585) 766-5588
Merit-based Incentive Payment System (MIPS)
- Final score
- 99.15 of 100
- Promoting interoperability
- 99
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of skin lesions | 94 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 18 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 163843 | NY | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dazzling Dermatology, PLLC | Dermatology | Current | Accepting new patients |
| McCaw Dermatology SC | Dermatology | Current | Accepting new patients |
| Western New York Dermatology, PLLC | Past | Accepting new patients |
Locations
22029 State Road 7
Ste 101
Boca Raton, FL 33428
Phone (561) 923-0905
1160 Park Ave W
Ste 3E
Highland Park, IL 60035
Phone (585) 766-5588
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Dermatology Physician
- Boca Raton, FL
- NPI 1336752120
-
- Specialist
- Williamsville, NY
- NPI 1083030498
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773014400000",
"number": "1205894169",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1160 PARK AVE W STE 3E",
"city": "HIGHLAND PARK",
"state": "IL",
"postal_code": "600352271",
"telephone_number": "847-926-3109",
"fax_number": "847-469-4061"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1160 PARK AVE W STE 3E",
"city": "HIGHLAND PARK",
"state": "IL",
"postal_code": "600352271",
"telephone_number": "847-926-3109",
"fax_number": "847-469-4061"
}
],
"practiceLocations": [
{
"address_1": "2150 S Clinton Ave",
"address_purpose": "LOCATION",
"city": "Rochester",
"state": "NY",
"postal_code": "146182618",
"country_code": "US",
"telephone_number": "585-256-0555",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GREENE",
"first_name": "RICHARD",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-02",
"last_updated": "2026-03-09",
"certification_date": "2026-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "NY",
"license": "163843",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Highland Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2026; 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.