Individual provider Active NPI

Michael David Greene, M.D.

  • Internal Medicine Physician
  • Fairfax, VA
National Provider Identifier
1316045644
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101040924 Issued in VA
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

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0101040924OtherVAVIRGINIA 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 Home health agency, Fairfax, VA, CCN 497714
  • Inova Home Health LLC Home health agency, Fairfax, VA, CCN 497008
  • Virginia Hospital Center Hospital, Arlington, VA, CCN 490050
  • Inova Fair Oaks Hospital Hospital, Fairfax, VA, CCN 490101
  • Inova Fairfax Hospital Hospital, Falls Church, VA, CCN 490063
  • Reston Hospital Center Hospital, Reston, VA, CCN 490107
  • Uva Health Haymarket Medical Center Hospital, Haymarket, VA, CCN 490144

Merit-based Incentive Payment System (MIPS)

Final score
24.89 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
82.98

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

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.

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

Verify at the official NPI Registry.