Benjamin Joseph Kiyoshi Greene, DO

Primary specialty

Sports Medicine (Neuromusculoskeletal Medicine) PhysicianTaxonomy code 204C00000X

License

OP61667154 Issued in WA

Practice address

1303 W Summit Pkwy Lowr Level1
Spokane, WA 99201-7033

Phone

(509) 579-4300

Fax

(509) 317-9542

NPI assigned

Jun 15, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

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 1

Specialty

Osteopathic Manipulative MedicineAlso: Sports Medicine

Education

Pacific NW Un of HS, Col of Osteopathic Medicine, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Electrodiagnosis and Rehabilitation Associates of Tacoma PSGroup PAC ID 5597652677, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Electrodiagnosis & Rehabilitation Associates of Tacoma, PS

  • Specialist
  • Tacoma, WA
  • NPI 1508821422
  Medicare reassignment Care Compare group
• Argonne Integrative Medicine PLLC

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • Spokane Valley, WA
  • NPI 1417645508
  Medicare reassignment NPD

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

{
    "created_epoch": "1623715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753228800000",
    "number": "1245808237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2296 E. 30TH AVE.",
            "address_2": "APT. 232",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "99203",
            "telephone_number": "208-553-5229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1303 W SUMMIT PKWY LOWR LEVEL1",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992017033",
            "telephone_number": "509-579-4300",
            "fax_number": "509-317-9542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENE",
        "first_name": "BENJAMIN",
        "middle_name": "JOSEPH KIYOSHI",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-06-15",
        "last_updated": "2025-07-23",
        "certification_date": "2025-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204C00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine, Sports Medicine",
            "state": "WA",
            "license": "OP61667154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Selma Jayne Green, ARNP
• Sherri Eyvonne Green
• Todd Robert Green, MD
• Carl Frank Greenberg, M.S.
• Annamae Ness Greene
• Erin F Greene, MSW, LICSWA
• Kaylin Greene, ATC, LAT
• Michael T. Greene, M.A.
• Rachel Greene
• Tara M. Greene, PT

• Sports Medicine (Neuromusculoskeletal Medicine) Physician in Spokane, WA
• Providers in Spokane, WA by specialty
• Sports Medicine (Neuromusculoskeletal Medicine) Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2025; 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.

Verify at the official NPI Registry.