Kevin Roy Green, M.D.

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

ME140303 Issued in FL

Practice address

1004 S Old Dixie Hwy Ste 202
Jupiter, FL 33458-7200

Phone

(561) 745-6950

Fax

(561) 263-7260

NPI assigned

Mar 23, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Pulmonary DiseaseAlso: Internal Medicine

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Jupiter Medical Center Physicians Group IncGroup PAC ID 4284797069, 151 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Jupiter Medical Center Hospital, Jupiter, FL, CCN 100253

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Jupiter Medical Center Physicians Group Inc

  • Cardiovascular Disease Physician
  • Jupiter, FL
  • NPI 1396992475

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• Accountable Teaching Services LLC

  • Health Educator
  • Wellington, FL
  • NPI 1861929309
  Medicare reassignment NPD
• Cogent Healthcare of Jacksonville, LLC

  • Internal Medicine Physician
  • Jacksonville, FL
  • NPI 1124252333
  Medicare reassignment NPD
• University of Florida Jacksonville Physicians, Inc.

  • Internal Medicine Physician
  • Jacksonville, FL
  • NPI 1144276452
  Medicare reassignment NPD
• Cogent Healthcare of Jacksonville, LLC

  • Internal Medicine Physician
  • Port Orange, FL
  • NPI 1861150625
  NPD
• Jupiter Medical Center Physicians Group

  dba Jupiter Medical Center Urgent Care

  • Urgent Care Clinic/Center
  • Jupiter, FL
  • NPI 1730522921
  NPD
• Jupiter Medical Center Physicians Group Inc

  dba JMC Community Care

  • Pediatric Surgery Physician
  • Jupiter, FL
  • NPI 1093344376
  NPD
• University of Florida Jacksonville Physicians Inc

  • Internal Medicine Physician
  • Jacksonville, FL
  • NPI 1659531929
  NPD
• University of Florida Jacksonville Physicians, Inc.

  dba UF Health Imaging Center-Baymeadows

  • Physiological Laboratory
  • Jacksonville, FL
  • NPI 1831800952
  NPD
• American Arthritis & Rheumatology Associates LLC

  • Rheumatology Physician
  • Jupiter, FL
  • NPI 1598205072
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Jupiter Medical Center, Inc.

  • General Acute Care Hospital
  • Jupiter, FL
  • NPI 1295721090
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1458691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707177600000",
    "number": "1346602927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9218",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334689218",
            "telephone_number": "612-637-2575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 S OLD DIXIE HWY STE 202",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334587200",
            "telephone_number": "561-745-6950",
            "fax_number": "561-263-7260"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "653-1 W 8th St # L18",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322096511",
            "country_code": "US",
            "telephone_number": "904-244-3907",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5075 Innovation Way",
            "address_purpose": "LOCATION",
            "city": "Jupiter",
            "state": "FL",
            "postal_code": "334586101",
            "country_code": "US",
            "telephone_number": "561-935-3002",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "625 N Flagler Dr",
            "address_purpose": "LOCATION",
            "city": "West Palm Bch",
            "state": "FL",
            "postal_code": "334014027",
            "country_code": "US",
            "telephone_number": "561-263-7010",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1210 S Old Dixie Hwy",
            "address_purpose": "LOCATION",
            "city": "Jupiter",
            "state": "FL",
            "postal_code": "334587205",
            "country_code": "US",
            "telephone_number": "561-263-2234",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1240 S Old Dixie Hwy Fl 2",
            "address_purpose": "LOCATION",
            "city": "Jupiter",
            "state": "FL",
            "postal_code": "334587205",
            "country_code": "US",
            "telephone_number": "561-263-4400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3360 Burns Rd",
            "address_purpose": "LOCATION",
            "city": "Palm Bch Gdns",
            "state": "FL",
            "postal_code": "334104323",
            "country_code": "US",
            "telephone_number": "561-263-2234",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREEN",
        "first_name": "KEVIN",
        "middle_name": "ROY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-23",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME140303",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "FL",
            "license": "ME140303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronald Edward Grassi, DC
• Joseph Grayson Grau, BCBA
• Courtney Danielle Thomas Gray, DPT, PT
• Khadijah Nicosha Gray
• Deborah Grayhills, R.N.F.A.
• Burton Howard Greenberg, M.D.
• Paula Jarger Greene, APRN
• Ken K Grey, D.O.M.
• Meaghan Jewel Griffin, BSN, RN
• Jaidalyn Gromadzki

• Pulmonary Disease Physician in Jupiter, FL
• Providers in Jupiter, FL by specialty
• Pulmonary Disease Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2024; 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.

Verify at the official NPI Registry.