Individual provider Active NPI

Stephen Lloyd Green, M.D.

  • Hospitalist Physician
  • Meridian, ID
National Provider Identifier
1477679496
Registry record updated Feb 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
M-10266 Issued in ID
Practice address
2131 S Bonito Way
Meridian, ID 83642-1659
Phone
(208) 489-9500
NPI assigned
Mar 21, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 22, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 0101028335 VA
Hospitalist Physician 208M00000X M-10266 ID Primary

Addresses

Primary practice location

2131 S Bonito Way
Meridian, ID 83642-1659

Mailing address

26 Town Center Way # 704
Hampton, VA 23666-1999
Phone (757) 771-8049

Other identifiers 4

IdentifierTypeStateIssuer
1013986579OtherVANPI CORPORATION
006069479MedicaidVA
1477679496OtherVANPI INDIVIDUAL
M-10266OtherIDIDAHO LIC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 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
I20090420000336 VA Practitioner - Internal MedicinePractitioner - Infectious Disease 3375690886 Reassigns benefits to 2 organizations
I20150826002586 DC Practitioner - Internal Medicine 3375690886 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Infectious Disease
Education
University of North Carolina at Chapel Hill School of Medicine, 1970
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hospital Medicine Services of VA LLCGroup PAC ID 5991160160, 19 clinicians

Practice addresses (Care Compare)

4600 Spotsylvania Pkwy
Fredericksburg, VA 22408-7762
Phone (540) 498-4000

Hospital & facility affiliations

  • Spotsylvania Regional Medical Center Hospital, Fredericksburg, VA, CCN 490141
  • Mary Washington Hospital Hospital, Fredericksburg, VA, CCN 490022

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
16867NCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Medicine Associates, P.a.,P.C. CurrentSince Sep 1, 2015 Accepting new patients
Emergency Medicine Associates P.a., P.C. CurrentSince Sep 1, 2015 Accepting new patients
Hospital Medicine Services of VA, LLC Hospitalist CurrentSince Apr 1, 2023 Accepting new patients
Emergency Medicine Associates P.a., P.C. CurrentSince Sep 1, 2015 Accepting new patients
Hospitalist Medicine Physicians of North Carolina PLLC Past Accepting new patients
Virginia Hospitalists Inc Past Accepting new patients
Hospitalist Medicine Physicians of Front Royal, LLC Past Accepting new patients
Ridgeline Physician Services, PLC Family Medicine Past Accepting new patients
Hospitalist Medicine Physicians of Fredericksburg, LLC Past Accepting new patients
Hospitalist Medicine Physicians of Virginia LLC Family Medicine Past Accepting new patients
Verde Valley Medical Center Past Accepting new patients
Primedoc of Manassas PC Past Accepting new patients

Locations

20010 Century Blvd
Ste 200
Germantown, MD 20874

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

1701 N George Mason Dr
Arlington, VA 22205
Phone (703) 558-5000

100 Fairview Dr
Franklin, VA 23851
Phone (757) 516-1153

4600 Spotsylvania Pkwy
Fredericksburg, VA 22408
Phone (540) 498-4000

3000 Coliseum Dr
Hampton, VA 23666
Phone (757) 736-1000

15225 Heathcote Blvd
Haymarket, VA 20169
Phone (571) 284-1000

8700 Sudley Rd
Manassas, VA 20110
Phone (703) 369-8000

7101 Jahnke Rd
#611
Richmond, VA 23225
Phone (540) 498-4000

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16609/brand/1/csg/1/fhir/r4

Organizations & group practices 12

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 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": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361491200000",
    "number": "1477679496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 TOWN CENTER WAY # 704",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236661999",
            "telephone_number": "757-771-8049",
            "fax_number": "757-851-1285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2131 S BONITO WAY",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836421659",
            "telephone_number": "208-489-9500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "STEPHEN",
        "middle_name": "LLOYD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-21",
        "last_updated": "2013-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "VA",
            "license": "0101028335",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "ID",
            "license": "M-10266",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI CORPORATION",
            "identifier": "1013986579",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006069479",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI INDIVIDUAL",
            "identifier": "1477679496",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IDAHO LIC",
            "identifier": "M-10266",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Meridian, ID

Sources for this page

Verify at the official NPI Registry.