Active NPI
Howard Green, DPM
- Podiatrist
- Plymouth Meeting, PA
National Provider Identifier
1316052046
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- SC002526L
- Practice address
- 580 W Germantown Pike
Suite 100
Plymouth Meeting, PA 19462 - Phone
- (610) 828-7288
- Fax
- (610) 828-8556
- NPI assigned
- Aug 21, 2006
- Last updated
- Feb 18, 2022
- 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 |
|---|---|---|---|---|
| Podiatrist | 213E00000X | SC002526L | PA | Primary |
Addresses
Primary practice location
580 W Germantown Pike
Suite 100
Plymouth Meeting, PA 19462
Mailing address
580 W Germantown Pike
Suite 100
Plymouth Meeting, PA 19462
Phone (610) 825-7288
Other practice location 1
2800 W Township Line Rd
Havertown, PA 19083-5215
Phone (601) 449-3344
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0048247000 | Other | PA | KEYSTONE |
| 0983890 | Medicaid | PA | |
| 50144 | Other | PA | AETNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- California School of Podiatric Medicine, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2301 S Broad St
Philadelphia, PA 19148-3542
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 389 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Methodist Associates in Healthcare, Inc. | Current | Accepting new patients | |
| Methodist Associates in Healthcare, Inc | Podiatrist | Current | Accepting new patients |
| Pennsylvania Foot and Ankle Associates, P.C. | Current | Accepting new patients | |
| Methodist Associates in Healthcare, Inc | Current | Accepting new patients |
Locations
2301 S Broad St
Philadelphia, PA 19148
Phone (215) 952-9000
2301 S Broad St
Ste 102
Philadelphia, PA 19148
Phone (215) 952-5175
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Philadelphia, PA
- NPI 1053355131
Podiatrist
-
- Foot & Ankle Surgery Podiatrist
- Philadelphia, PA
- NPI 1336298124
-
dba Jefferson Community Physicians - Neurosurgery
- Neurological Surgery Physician
- Philadelphia, PA
- NPI 1790390813
-
dba Jefferson Community Physicians - Kairys
- Family Medicine Physician
- Philadelphia, PA
- NPI 1033575352
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Philadelphia, PA
- NPI 1215916002
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645142400000",
"number": "1316052046",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "580 W GERMANTOWN PIKE",
"address_2": "SUITE 100",
"city": "PLYMOUTH MEETING",
"state": "PA",
"postal_code": "19462",
"telephone_number": "610-825-7288",
"fax_number": "610-828-8556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "580 W GERMANTOWN PIKE",
"address_2": "SUITE 100",
"city": "PLYMOUTH MEETING",
"state": "PA",
"postal_code": "19462",
"telephone_number": "610-828-7288",
"fax_number": "610-828-8556"
}
],
"practiceLocations": [
{
"address_1": "2800 W Township Line Rd",
"address_purpose": "LOCATION",
"city": "Havertown",
"state": "PA",
"postal_code": "190835215",
"country_code": "US",
"telephone_number": "601-449-3344",
"fax_number": "610-789-6753",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GREEN",
"first_name": "HOWARD",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-21",
"last_updated": "2022-02-18",
"certification_date": "2022-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "PA",
"license": "SC002526L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE",
"identifier": "0048247000",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0983890",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "50144",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Plymouth Meeting, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2022; 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.