Individual provider Active NPI

Justin Lee Greene, MD

  • Vascular & Interventional Radiology Physician
  • Green Bay, WI
National Provider Identifier
1356879241
Registry record updated Aug 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
76793-20 Issued in WI
Practice address
744 S Webster Ave
Green Bay, WI 54301-3581
Phone
(920) 433-3500
NPI assigned
May 23, 2017
Last updated
Aug 28, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology Physician 2085R0204X 76793-20 WI Primary

Addresses

Primary practice location

744 S Webster Ave
Green Bay, WI 54301-3581

Mailing address

PO Box 22487
Green Bay, WI 54305-2487
Phone (920) 445-7210

Other practice location 1

9200 W. Wisconsin Ave.
Department of Radiology
Milwaukee, WI 53226-3522
Phone (414) 805-3125

Other practice location 2

2820 Roosevelt Rd
Marinette, WI 54143-3834
Phone (715) 735-5225

Other practice location 3

820 Arbutus Ave
Oconto, WI 54153-2004
Phone (920) 835-1100

Other practice location 4

2845 Greenbrier Rd
Green Bay, WI 54311-6519
Phone (920) 288-4848

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, MI2 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
I20230914003199 WI Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 1254600828 Reassigns benefits to 6 organizations
I20240515002111 MI Practitioner - Interventional Radiology 1254600828 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic RadiologyAlso: Interventional Radiology
Education
University of Colorado School of Medicine, Denver, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baycare Aurora LLCGroup PAC ID 0244130557, 197 clinicians
St Francis HospitalGroup PAC ID 5991604753, 85 clinicians
Bellin Memorial Hospital IncGroup PAC ID 8820900749, 685 clinicians
Osf Multi-Specialty GroupGroup PAC ID 3678889789, 2,123 clinicians

Practice addresses (Care Compare)

2845 Greenbrier Rd
Green Bay, WI 54311-6519
Phone (920) 288-8000

3401 Ludington St
Escanaba, MI 49829-1300
Phone (906) 786-5707

3409 Ludington St
Escanaba, MI 49829-4213

744 S Webster Ave
Green Bay, WI 54301-3505
Phone (920) 433-6025

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
76793-20WIMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bellin Memorial Hospital Inc CurrentSince Sep 1, 2023 Accepting new patients
Oconto Hospital & Medical Center Inc CurrentSince Aug 31, 2023 Accepting new patients
Bellin Memorial Hospital Inc CurrentSince Sep 1, 2023 Accepting new patients
Baycare Clinic LLP CurrentSince Aug 1, 2025 Accepting new patients
Baycare Aurora, LLC CurrentSince Aug 26, 2025 Accepting new patients
Aurora Medical Group, Inc. CurrentSince Sep 1, 2025 Accepting new patients
Oconto Hospital & Medical Center Inc Current Accepting new patients
Aurora Medical Group, Inc. Current Accepting new patients
Oconto Hospital & Medical Center Inc CurrentSince Aug 31, 2023 Accepting new patients
Baycare Clinic LLP Current Accepting new patients
Bellin Memorial Hospital Inc Current Accepting new patients
St. Francis Hospital CurrentSince Apr 22, 2024 Accepting new patients
Aurora Medical Group, Inc. CurrentSince Sep 1, 2025 Accepting new patients
St. Francis Hospital Current Accepting new patients
Osf Multi-Specialty Group CurrentSince Jun 8, 2024 Accepting new patients
St Francis Hospital CurrentSince Apr 22, 2024 Accepting new patients

Locations

2525 5th Ave S
Escanaba, MI 49829
Phone (906) 233-4276

3409 Ludington St
Ste 104
Escanaba, MI 49829
Phone (906) 786-8343

3409 Ludington St
Ste 206
Escanaba, MI 49829
Phone (906) 786-7471

1035 Kepler Dr
Green Bay, WI 54311

1160 Kepler Dr
Green Bay, WI 54311
Phone (920) 288-5400

2253 W Mason St
Green Bay, WI 54303
Phone (920) 327-7000

2581 Development Dr
Green Bay, WI 54311
Phone (920) 347-0400

2845 Greenbrier Rd
Green Bay, WI 54311
Phone (920) 288-3388

744 S Webster Ave
Green Bay, WI 54301
Phone (920) 433-6025

744 S Webster Ave
#2
Green Bay, WI 54301

2820 Roosevelt Rd
Marinette, WI 54143
Phone (715) 330-6171

1020 N 12th St
Milwaukee, WI 53233
Phone (414) 219-3056

820 Arbutus Ave
Oconto, WI 54153
Phone (920) 835-1100

719 Doctors Ct
Oshkosh, WI 54901
Phone (920) 235-0066

9200 W Wisconsin Ave
Wauwatosa, WI 53226
Phone (414) 259-3000

Interoperability endpoints

  • Direct secure messaging: jgreene435547@direct.myadvocateaurora.org
  • Direct secure messaging: jgreene924463@direct.emplifyhealth.org

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 5

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": "1495497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756339200000",
    "number": "1356879241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22487",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543052487",
            "telephone_number": "920-445-7210",
            "fax_number": "920-445-7289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "744 S WEBSTER AVE",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543013581",
            "telephone_number": "920-433-3500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9200 W. Wisconsin Ave.",
            "address_2": "Department of Radiology",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532263522",
            "country_code": "US",
            "telephone_number": "414-805-3125",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2820 Roosevelt Rd",
            "address_purpose": "LOCATION",
            "city": "Marinette",
            "state": "WI",
            "postal_code": "541433834",
            "country_code": "US",
            "telephone_number": "715-735-5225",
            "fax_number": "715-735-5388",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "820 Arbutus Ave",
            "address_purpose": "LOCATION",
            "city": "Oconto",
            "state": "WI",
            "postal_code": "541532004",
            "country_code": "US",
            "telephone_number": "920-835-1100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2845 Greenbrier Rd",
            "address_purpose": "LOCATION",
            "city": "Green Bay",
            "state": "WI",
            "postal_code": "543116519",
            "country_code": "US",
            "telephone_number": "920-288-4848",
            "fax_number": "920-288-4956",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREENE",
        "first_name": "JUSTIN",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-23",
        "last_updated": "2025-08-28",
        "certification_date": "2025-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "WI",
            "license": "76793-20",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Green Bay, WI

Sources for this page

Verify at the official NPI Registry.