Individual provider Active NPI

Kenneth Myron Greene, M.D.

  • Internal Medicine Physician
  • Baltimore, MD
National Provider Identifier
1497869903
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D0037016 Issued in MD
Practice address
6701 N Charles St Ste 4104
Baltimore, MD 21204-6808
Phone
(410) 821-2800
Fax
(410) 821-2804
NPI assigned
Aug 19, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X D0037016 MD Primary

Addresses

Primary practice location

6701 N Charles St Ste 4104
Baltimore, MD 21204-6808

Mailing address

3407 Garrison Farms Rd
Baltimore, MD 21208-1852
Phone (410) 653-3731

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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 1

Enrollment IDStateProvider typePAC IDDetails
I20091229000267 MD Practitioner - Internal Medicine 1254471063 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Virginia Commonwealth University, School of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

6701 N Charles St
Baltamore, MD 21204-6808
Phone (410) 821-2800

Hospital & facility affiliations

  • Bayada Home Health Care, Inc. Home health agency, Towson, MD, CCN 217101
  • Home Call, Inc Home health agency, Westminster, MD, CCN 217115
  • Medstar Health Home Care Home health agency, Baltimore, MD, CCN 217068
  • Gilchrist Hospice Care, Inc Hospice, Hunt Valley, MD, CCN 211526
  • Greater Baltimore Medical Center Hospital, Baltimore, MD, CCN 210044
  • Johns Hopkins Hospital, the Hospital, Baltimore, MD, CCN 210009

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0037016MDMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kenneth M. Greene, M.D. & Associates CurrentSince Apr 1, 2000 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

6701 N Charles St
Ste 4105
Towson, MD 21204
Phone (443) 849-3184

6701 N Charles St
Ste 4104
Towson, MD 21204
Phone (410) 821-2800

6701 N Charles St
#4104
Towson, MD 21204
Phone (410) 227-7149

Interoperability endpoints

  • Direct secure messaging: kenneth.greene.1@28855.direct.athenahealth.com

Organizations & group practices 2

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 9

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": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1497869903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3407 GARRISON FARMS RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212081852",
            "telephone_number": "410-653-3731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6701 N CHARLES ST STE 4104",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212046808",
            "telephone_number": "410-821-2800",
            "fax_number": "410-821-2804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENE",
        "first_name": "KENNETH",
        "middle_name": "MYRON",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-19",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0037016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.