Active NPI
Stephen Lloyd Green, M.D.
- Hospitalist Physician
- Meridian, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- M-10266
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013986579 | Other | VA | NPI CORPORATION |
| 006069479 | Medicaid | VA | |
| 1477679496 | Other | VA | NPI INDIVIDUAL |
| M-10266 | Other | ID | IDAHO LIC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- 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
Practice addresses (Care Compare)
4600 Spotsylvania Pkwy
Fredericksburg, VA 22408-7762
Phone (540) 498-4000
Hospital & facility affiliations
- Spotsylvania Regional Medical Center
- Mary Washington Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16867 | NC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Medicine Associates, P.a.,P.C. | Current | Accepting new patients | |
| Emergency Medicine Associates P.a., P.C. | Current | Accepting new patients | |
| Hospital Medicine Services of VA, LLC | Hospitalist | Current | Accepting new patients |
| Emergency Medicine Associates P.a., P.C. | Current | 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
- 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.
-
- Hospitalist Physician
- Fredericksburg, VA
- NPI 1083311146
-
- Emergency Medicine Physician
- Falls Church, VA
- NPI 1134117393
DC
-
- Internal Medicine Physician
- Dulles, VA
- NPI 1376917070
-
- Internal Medicine Physician
- Culpeper, VA
- NPI 1881559102
-
- Internal Medicine Physician
- Fredericksburg, VA
- NPI 1447577572
-
- Internal Medicine Physician
- Winchester, VA
- NPI 1376850057
-
- Internal Medicine Physician
- Greensboro, NC
- NPI 1164724902
-
- Internal Medicine Physician
- Winchester, VA
- NPI 1770756991
Family Medicine
-
- Internal Medicine Physician
- Manassas, VA
- NPI 1134366685
-
- Family Medicine Physician
- Culpeper, VA
- NPI 1952627119
-
- General Acute Care Hospital
- Cottonwood, AZ
- NPI 1346291648
-
- Internal Medicine Physician
- Richmond, VA
- NPI 1427047562
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fredericksburg, VA
- NPI 1942288527
-
- Cardiovascular Disease Physician
- Fredericksburg, VA
- NPI 1013089879
Hospital
-
- General Acute Care Hospital
- Fredericksburg, VA
- NPI 1376876664
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2013; 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.