Individual provider Active NPI

Joseph Greene, MD

  • Surgery Physician
  • Reston, VA
National Provider Identifier
1235497827
Registry record updated Sep 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
D0085394 Issued in MD
Practice address
1850 Town Center Pkwy Ste 463
Reston, VA 20190-3300
Phone
(571) 910-7878
Fax
(571) 910-7868
NPI assigned
May 2, 2012
Reactivated
Oct 24, 2018
Last updated
Sep 27, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 0101262805 VA
Surgery Physician 208600000X D0085394 MD Primary

Addresses

Primary practice location

1850 Town Center Pkwy Ste 463
Reston, VA 20190-3300

Mailing address

1850 Town Center Pkwy Ste 463
Reston, VA 20190-3300
Phone (571) 910-7878

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170908001101 DC Practitioner - General Surgery 8123391430 Reassigns benefits to 2 organizations
I20171004001305 VA Practitioner - General Surgery 8123391430 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0085394MDMDSurgery Physician
0101262805VAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Inova Health Care Services CurrentSince Jul 8, 2017 Accepting new patients
Inova Health Care Services CurrentSince Jul 8, 2017 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

3300 Gallows Rd
Fl 1
Falls Church, VA 22042
Phone (703) 776-4005

3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395

224B Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894

1850 Town Center Pkwy
Ste 46
Reston, VA 20190

1850 Town Center Pkwy
Ste 463
Reston, VA 20190
Phone (571) 910-7878

1860 Town Center Dr
Ste G100
Reston, VA 20190
Phone (703) 433-8700

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1335916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727395200000",
    "number": "1235497827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 TOWN CENTER PKWY STE 463",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201903300",
            "telephone_number": "571-910-7878",
            "fax_number": "571-910-7868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 TOWN CENTER PKWY STE 463",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201903300",
            "telephone_number": "571-910-7878",
            "fax_number": "571-910-7868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENE",
        "first_name": "JOSEPH",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-05-02",
        "last_updated": "2024-09-27",
        "certification_date": "2024-09-27",
        "deactivation_date": "2018-10-19",
        "reactivation_date": "2018-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "VA",
            "license": "0101262805",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MD",
            "license": "D0085394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reston, VA

Sources for this page

Verify at the official NPI Registry.