Individual provider Active NPI

Leila Green, M.D.

  • Surgery Physician
  • Detroit, MI
National Provider Identifier
1245484534
Registry record updated Nov 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
BH26634488143 Issued in MI
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, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
BH26634488143OtherMIEDUCATIONAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, TX, FL, VA, CO, DC, MS7 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 7

Enrollment IDStateProvider typePAC IDDetails
I20170321000130 MO Practitioner - General Surgery 6507150034 Reassigns benefits to 1 organization
I20170818000267 TX Practitioner - General Surgery 6507150034 Reassigns benefits to 2 organizations
I20171220003025 FL Practitioner - General Surgery 6507150034
I20240501002380 VA Practitioner - General Surgery 6507150034 Reassigns benefits to 2 organizations
I20240520003408 CO Practitioner - General Surgery 6507150034
I20240816001148 DC Practitioner - General Surgery 6507150034 Reassigns benefits to 1 organization
I20250116001054 MS Practitioner - General Surgery 6507150034 Reassigns benefits to 1 organization

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
Urgent Specialty Associates of Missouri LLCGroup PAC ID 2860874831, 39 clinicians
Urgent Specialty Associates of Texas PLLCGroup PAC ID 6507258209, 68 clinicians
Christus Trinity Clinic TexasGroup PAC ID 3072426741, 1,540 clinicians

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

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
BH26634488143MIMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northstar Anesthesia of Virginia, LLC CurrentSince Mar 19, 2024 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Aug 1, 2020 Accepting new patients
North Mississippi Medical Center Current Accepting new patients
Urgent Specialty Associates PLLC Surgery CurrentSince May 6, 2024 Accepting new patients
Urgent Specialty Associates of Texas, PLLC CurrentSince Oct 4, 2021 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Aug 1, 2020 Accepting new patients
Mother Frances Hospital Jacksonville Current Accepting new patients
Urgent Specialty Associates of Mississippi PLLC CurrentSince Dec 14, 2024 Accepting new patients
New England Radiological Consortium, LLC Past Accepting new patients
Urgent Specialty Associates of Colorado, PLLC PastSince Jun 21, 2022 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

  • Direct secure messaging: leilagreen@nmhs.medalliesdirect.net
  • Direct secure messaging: 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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.