NPIMap

Individual provider Active NPI

Matthew Nelson Green, M.D.

  • Family Medicine Physician
  • McKinney, TX
National Provider Identifier
1417005828
Registry record updated Dec 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
M7230 Issued in TX
Practice address
5220 W University Dr Ste 100
McKinney, TX 75071-7402
Phone
(469) 800-5100
Fax
(469) 800-5110
NPI assigned
Jan 8, 2007
Last updated
Dec 2, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X M7230 TX Primary

Addresses

Primary practice location

5220 W University Dr Ste 100
McKinney, TX 75071-7402

Mailing address

5220 W University Dr Ste 100
McKinney, TX 75071-7402
Phone (469) 800-5100

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mgreen225307@direct.sw.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070720000727 TX Practitioner - Family Practice 2860591898 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Texas Medical Branch at Galveston, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Healthtexas Provider NetworkGroup PAC ID 1355254210, 2,535 clinicians

Practice addresses (Care Compare)

5236 W University
4900 The Heart Group
McKinney, TX 75071-8185
Phone (469) 800-5350

5236 W University Dr
2200 Endocrinolog Specialists of McKinne
McKinney, TX 75071-8113
Phone (469) 800-5400

5236 W University Dr
Suite 1500
McKinney, TX 75071-8108
Phone (469) 800-5100

821 N Coleman St
Suite 100
Prosper, TX 75078-2339
Phone (469) 800-5200

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Healthtexas Provider Network Family Medicine CurrentSince Jul 1, 2007 Accepting new patients
Healthtexas Provider Network CurrentSince Jul 1, 2007 Accepting new patients
Healthtexas Provider Network Family Medicine Current Accepting new patients

Locations

4001 Worth St
#A
Dallas, TX 75246
Phone (214) 820-8665

8080 N Central Expy
Ste 600
Dallas, TX 75206
Phone (469) 800-8648

2730 Virginia Pkwy
Ste 200
McKinney, TX 75071
Phone (214) 491-4900

5220 W University Dr
Ste 100
McKinney, TX 75071
Phone (469) 800-5036

821 N Coleman St
Ste 100
Prosper, TX 75078
Phone (469) 800-5200

Organizations & group practices 3

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.

Hospital & facility affiliations 4

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": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669939200000",
    "number": "1417005828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5220 W UNIVERSITY DR STE 100",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750717402",
            "telephone_number": "469-800-5100",
            "fax_number": "469-800-5110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5220 W UNIVERSITY DR STE 100",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750717402",
            "telephone_number": "469-800-5100",
            "fax_number": "469-800-5110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "MATTHEW",
        "middle_name": "NELSON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-08",
        "last_updated": "2022-12-02",
        "certification_date": "2022-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "M7230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mgreen225307@direct.sw.org",
            "affiliation": "N",
            "address_1": "5220 W University Dr Ste 100",
            "city": "McKinney",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750717402",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in McKinney, TX

Sources for this page

Verify at the official NPI Registry.