Individual provider Active NPI

James A Green, DPM

  • Foot & Ankle Surgery Podiatrist
  • Aventura, FL
National Provider Identifier
1285671834
Registry record updated Jun 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO1378 Issued in FL
Practice address
21097 NE 27TH CT Ste 370
Aventura, FL 33180-1234
Phone
(305) 935-6566
Fax
(888) 521-3029
NPI assigned
Jun 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X PO1378 FL Primary

Addresses

Primary practice location

21097 NE 27TH CT Ste 370
Aventura, FL 33180-1234

Mailing address

1509 Zenith Way
Weston, FL 33327-2322
Phone (954) 435-2700

Other practice location 1

601 N Flamingo Rd Ste 103
Pembroke Pines, FL 33028-1007
Phone (954) 435-2700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050506000105 FL Practitioner - Podiatry 7315987567 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

601 N Flamingo Rd
Suite 103
Pembroke Pines, FL 33028-1007
Phone (954) 435-2700

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue14
Removal of nail tissue24
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PO1378FLMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Podiatry Asssociates Inc Foot & Ankle Surgery CurrentSince Aug 10, 1984 Accepting new patients
Podiatry Asssociates Inc Foot & Ankle Surgery Past Accepting new patients

Locations

21097 NE 27th Ct
Ste 370
Aventura, FL 33180
Phone (305) 935-6566

21110 Biscayne Blvd
Ste 400
Miami, FL 33180
Phone (305) 918-7050

601 N Flamingo Rd
Ste 103
Pembroke Pnes, FL 33028
Phone (954) 435-2700

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/11867/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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.

Hospital & facility affiliations 1

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": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591833600000",
    "number": "1285671834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1509 ZENITH WAY",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333272322",
            "telephone_number": "954-435-2700",
            "fax_number": "888-521-3029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21097 NE 27TH CT STE 370",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331801234",
            "telephone_number": "305-935-6566",
            "fax_number": "888-521-3029"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 N Flamingo Rd Ste 103",
            "address_purpose": "LOCATION",
            "city": "Pembroke Pines",
            "state": "FL",
            "postal_code": "330281007",
            "country_code": "US",
            "telephone_number": "954-435-2700",
            "fax_number": "888-521-3029",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREEN",
        "first_name": "JAMES",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-01",
        "last_updated": "2020-06-11",
        "certification_date": "2020-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO1378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aventura, FL

Sources for this page

Verify at the official NPI Registry.