Individual provider Active NPI

Andrew Todd Greene, DO

  • Maternal & Fetal Medicine Physician
  • Lexington, KY
National Provider Identifier
1326547704
Registry record updated Jun 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
60058 Issued in KY
Practice address
125 E Maxwell St Ste 140
Lexington, KY 40508-2678
Phone
(859) 323-0005
Fax
(859) 323-0790
NPI assigned
Feb 12, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 2022-01849 NC
Maternal & Fetal Medicine Physician 207VM0101X 60058 KY Primary

Addresses

Primary practice location

125 E Maxwell St Ste 140
Lexington, KY 40508-2678

Mailing address

Medical Center Blvd
Winston Salem, NC 27157-0001
Phone (336) 716-4039

Other practice location 1

Medical Center Blvd
Winston Salem, NC 27157-0001
Phone (336) 716-4039

Other practice location 2

2213 Cherry St
Toledo, OH 43608-2603
Phone (419) 251-6522

Other practice location 3

2213 Franklin Ave
Toledo, OH 43620-1402
Phone (419) 251-2395

Other practice location 4

2213 Franklin St
FCC-OB/GYN
Toledo, OH 43620
Phone (419) 251-2395

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, KY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220824000683 NC Practitioner - Obstetrics/Gynecology 1951726595 Reassigns benefits to 1 organization
I20250722003043 KY Practitioner - Obstetrics/Gynecology 1951726595 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Alabama College of Osteopathic Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kentucky Medical Services Foundation, IncGroup PAC ID 5698689909, 949 clinicians

Practice addresses (Care Compare)

135 E Maxwell St
Lexington, KY 40508-2617
Phone (859) 226-7103

Hospital & facility affiliations

  • University of Kentucky Hospital Hospital, Lexington, KY, CCN 180067

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
60058KYMDMaternal & Fetal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kentucky Medical Services Foundation, Inc Obstetrics & Gynecology CurrentSince Jul 9, 2025 Accepting new patients
Wake Forest University Health Sciences CurrentSince Jul 15, 2022 Accepting new patients
University of Kentucky CurrentSince Jul 9, 2025 Accepting new patients
University of Kentucky Past Accepting new patients

Locations

125 E Maxwell St
Ste 140
Lexington, KY 40508
Phone 8593230005 ext. 85932

135 E Maxwell St
Lexington, KY 40508
Phone (859) 226-7103

800 Rose St
Lexington, KY 40536
Phone (859) 257-8562

125 E Maxwell St
Lexington, KY 40508
Phone (859) 323-0005

2400 Greatstone Pt
Lexington, KY 40504
Phone (859) 257-9800

250 Hospital Dr
Lexington, NC 27292
Phone (336) 238-4150

Medical Ctr Blvd
Winston Salem, NC 27157
Phone (336) 713-2697

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 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": "1518393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749427200000",
    "number": "1326547704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MEDICAL CENTER BLVD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271570001",
            "telephone_number": "336-716-4039",
            "fax_number": "336-716-6937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 E MAXWELL ST STE 140",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405082678",
            "telephone_number": "859-323-0005",
            "fax_number": "859-323-0790"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Medical Center Blvd",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271570001",
            "country_code": "US",
            "telephone_number": "336-716-4039",
            "fax_number": "336-716-6937",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2213 Cherry St",
            "address_purpose": "LOCATION",
            "city": "Toledo",
            "state": "OH",
            "postal_code": "436082603",
            "country_code": "US",
            "telephone_number": "419-251-6522",
            "fax_number": "419-251-6849",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2213 Franklin Ave",
            "address_purpose": "LOCATION",
            "city": "Toledo",
            "state": "OH",
            "postal_code": "436201402",
            "country_code": "US",
            "telephone_number": "419-251-2395",
            "fax_number": "419-251-2401",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2213 Franklin St",
            "address_2": "FCC-OB/GYN",
            "address_purpose": "LOCATION",
            "city": "Toledo",
            "state": "OH",
            "postal_code": "43620",
            "country_code": "US",
            "telephone_number": "419-251-2395",
            "fax_number": "419-251-2401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREENE",
        "first_name": "ANDREW",
        "middle_name": "TODD",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-02-12",
        "last_updated": "2025-06-09",
        "certification_date": "2025-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NC",
            "license": "2022-01849",
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "KY",
            "license": "60058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.