Active NPI
Rhea Green, MD
- Cardiovascular Disease Physician
- Mount Rainier, MD
National Provider Identifier
1396328241
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 0116038803
- Practice address
- 4213 Russell Ave Apt 2
Mount Rainier, MD 20712-1726 - Phone
- (202) 361-3025
- NPI assigned
- Apr 29, 2021
- Last updated
- Jun 25, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 00000000000000000000 | MI | |
| Cardiovascular Disease Physician | 207RC0000X | 0116038803 | VA | Primary |
Addresses
Primary practice location
4213 Russell Ave Apt 2
Mount Rainier, MD 20712-1726
Mailing address
Detroit Medical Center Gme Office
4201 St. Antoine Uhc-9C
Detroit, MI 48201
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | detroit | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0116038803 | VA | MD | Cardiovascular Disease Physician |
| 00000000000000000000 | MI | MD | Health Maintenance Organization |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1619654400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719273600000",
"number": "1396328241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "DETROIT MEDICAL CENTER GME OFFICE",
"address_2": "4201 ST. ANTOINE UHC-9C",
"city": "DETROIT",
"state": "MI",
"postal_code": "48201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4213 RUSSELL AVE APT 2",
"city": "MOUNT RAINIER",
"state": "MD",
"postal_code": "207121726",
"telephone_number": "202-361-3025"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREEN",
"first_name": "RHEA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-04-29",
"last_updated": "2024-06-25",
"certification_date": "2024-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "00000000000000000000",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "VA",
"license": "0116038803",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "detroit",
"affiliation": "N",
"endpointDescription": "detroit",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "000",
"address_1": "Detroit Medical Center Detroit Medical Center GME Offic",
"address_2": "4201 St. Antoine UHC-9C",
"city": "Detroit",
"state": "MI",
"country_code": "US",
"postal_code": "48201",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Mount Rainier, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.