Active NPI
Michael David Greene, M.D.
- Internal Medicine Physician
- Fairfax, VA
National Provider Identifier
1316045644
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 0101040924
- Practice address
- 3700 Joseph Siewick Drive
Suite 203
Fairfax, VA 22033-1738 - Phone
- (703) 758-7500
- Fax
- (703) 758-8316
- NPI assigned
- Sep 20, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 0101040924 | VA | Primary |
Addresses
Primary practice location
3700 Joseph Siewick Drive
Suite 203
Fairfax, VA 22033-1738
Mailing address
3700 Joseph Siewick Drive
Suite 203
Fairfax, VA 22033-1738
Phone (703) 758-7500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0101040924 | Other | VA | VIRGINIA LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080919000233 | DC | Practitioner - Internal Medicine | 5597832360 | Practice locations: Fairfax, VA |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3700 Joseph Siewick Dr
Fairfax, VA 22033-1738
Phone (703) 758-7500
Hospital & facility affiliations
- Horizons Healthcare Services LLC
- Inova Home Health LLC
- Virginia Hospital Center
- Inova Fair Oaks Hospital
- Inova Fairfax Hospital
- Reston Hospital Center
- Uva Health Haymarket Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 24.89 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 82.98
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Fairfax, VA
- NPI 1710473673
-
- Home Health Agency
- Fairfax, VA
- NPI 1437587888
-
- Rehabilitation Hospital Unit
- Falls Church, VA
- NPI 1588795462
-
- General Acute Care Hospital
- Fairfax, VA
- NPI 1760513980
-
- General Acute Care Hospital
- Falls Church, VA
- NPI 1831220714
-
- General Acute Care Hospital
- Reston, VA
- NPI 1053363853
-
- General Acute Care Hospital
- Haymarket, VA
- NPI 1124369137
-
- General Acute Care Hospital
- Arlington, VA
- NPI 1790785996
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1316045644",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3700 JOSEPH SIEWICK DRIVE",
"address_2": "SUITE 203",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220331738",
"telephone_number": "703-758-7500",
"fax_number": "703-758-8316"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3700 JOSEPH SIEWICK DRIVE",
"address_2": "SUITE 203",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220331738",
"telephone_number": "703-758-7500",
"fax_number": "703-758-8316"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREENE",
"first_name": "MICHAEL",
"middle_name": "DAVID",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "VA",
"license": "0101040924",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VIRGINIA LICENSE",
"identifier": "0101040924",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fairfax, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.