Active NPI
Leila Green, M.D.
- Surgery Physician
- Detroit, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- BH26634488143
- Practice address
- 4201 Saint Antoine St
6C Uhc/DMC
Detroit, MI 48201-2153 - Phone
- (313) 577-5013
- NPI assigned
- Nov 13, 2008
- Last updated
- Nov 13, 2008
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | BH26634488143 | MI | Primary |
Addresses
Primary practice location
4201 Saint Antoine St
6C Uhc/DMC
Detroit, MI 48201-2153
Mailing address
1300 E Lafayette St
Apt 1905
Detroit, MI 48207-2905
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| BH26634488143 | Other | MI | EDUCATIONAL LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, TX, FL, VA, CO, DC, MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 7
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Meharry Medical College School of Medicine, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
19600 E 39TH St S
Independence, MO 64057-2301
Phone (816) 698-7000
21214 Northwest Fwy
Cypress, TX 77429-2105
Phone (832) 912-3500
2316 E Meyer Blvd
Kansas City, MO 64132-1136
Phone (816) 276-4000
500 W Medical Ctr Blvd
Webster, TX 77598-4220
Phone (281) 332-2511
620 S Fleishel Ave
Christus Trinity Clinic
Tyler, TX 75701-2041
Phone (903) 606-4900
630 S Fleishel Ave
Tyler, TX 75701-2041
Phone (903) 606-5560
800 E Dawson St
Christus Trinity Clinic
Tyler, TX 75701-2036
Phone (903) 510-1186
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BH26634488143 | MI | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northstar Anesthesia of Virginia, LLC | Current | Accepting new patients | |
| Christus Trinity Clinic Texas | Current | Accepting new patients | |
| North Mississippi Medical Center | Current | Accepting new patients | |
| Urgent Specialty Associates PLLC | Surgery | Current | Accepting new patients |
| Urgent Specialty Associates of Texas, PLLC | Current | Accepting new patients | |
| Christus Trinity Clinic Texas | Current | Accepting new patients | |
| Mother Frances Hospital Jacksonville | Current | Accepting new patients | |
| Urgent Specialty Associates of Mississippi PLLC | Current | Accepting new patients | |
| New England Radiological Consortium, LLC | Past | Accepting new patients | |
| Urgent Specialty Associates of Colorado, PLLC | Past | Accepting new patients | |
| Trinity Clinic | Past | Accepting new patients |
Locations
13500 Powers Ct
Ste 230
Fort Myers, FL 33912
Phone (239) 610-0784
830 S Gloster St
Tupelo, MS 38801
Phone (662) 377-3136
710 FM 1960 Rd W
Houston, TX 77090
Phone (281) 440-1000
800 Peakwood Dr
Ste 4E
Houston, TX 77090
Phone (281) 440-8430
2026 S Jackson St
Jacksonville, TX 75766
Phone (903) 541-4500
22999 Highway 59 N
Kingwood, TX 77339
Phone (281) 348-3322
6801 Emmett F Lowry Expy
Texas City, TX 77591
Phone (409) 938-5095
6807 Emmett F Lowry Expy
Texas City, TX 77591
Phone (409) 908-9555
630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888
450 W Medical Center Blvd
Ste 520
Webster, TX 77598
Phone (281) 218-9515
500 W Medical Center Blvd
Webster, TX 77598
Phone (713) 447-4650
541 Sunset Ln
Ste 201
Culpeper, VA 22701
Phone (540) 829-0700
1850 Town Center Pkwy
Reston, VA 20190
Phone (703) 478-0922
1850 Town Center Pkwy
Ste 309
Reston, VA 20190
Phone (703) 705-4180
7101 Jahnke Rd
Richmond, VA 23225
Phone (804) 323-1088
Interoperability endpoints
- leilagreen@nmhs.medalliesdirect.net
- lgreen110591@christushealth.direct-ci.net
Organizations & group practices 12
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.
-
dba Christus Trinity Clinic
- Family Medicine Physician
- Tyler, TX
- NPI 1285684225
-
- Surgical Critical Care Physician
- Kingwood, TX
- NPI 1790350445
-
- Surgical Critical Care Physician
- Kansas City, MO
- NPI 1992436422
-
- Anesthesiology Physician
- Alexandria, VA
- NPI 1194488791
-
- Surgical Critical Care Physician
- Tupelo, MS
- NPI 1972324309
-
dba Christus Trinity Clinic
- Rural Health Clinic/Center
- Winnsboro, TX
- NPI 1801673165
-
dba CHRISTUS Mother Frances Hospital - Jacksonville
- Critical Access Hospital
- Jacksonville, TX
- NPI 1952306672
-
- General Acute Care Hospital
- Tupelo, MS
- NPI 1376969683
-
- Diagnostic Radiology Physician
- Hampton, NH
- NPI 1174414882
-
dba Trinity Clinic Family Practice
- Family Medicine Physician
- Tyler, TX
- NPI 1922058304
-
- Surgical Critical Care Physician
- Thornton, CO
- NPI 1740910322
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Centerpoint Medical Center
- General Acute Care Hospital
- Independence, MO
- NPI 1942247044
-
dba HCA Houston Healthcare North Cypress a Campus of HCA Houston Healthcar
- General Acute Care Hospital
- Kingwood, TX
- NPI 1811942238
-
dba Christus Mother Frances Hospital Tyler
- General Acute Care Hospital
- Tyler, TX
- NPI 1679578439
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1226534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1226534400000",
"number": "1245484534",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1300 E LAFAYETTE ST",
"address_2": "APT 1905",
"city": "DETROIT",
"state": "MI",
"postal_code": "482072905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4201 SAINT ANTOINE ST",
"address_2": "6C UHC/DMC",
"city": "DETROIT",
"state": "MI",
"postal_code": "482012153",
"telephone_number": "313-577-5013"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREEN",
"first_name": "LEILA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-11-13",
"last_updated": "2008-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MI",
"license": "BH26634488143",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EDUCATIONAL LICENSE",
"identifier": "BH26634488143",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2008; 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.