Individual provider Active NPI

David P Green, MD

  • Orthopaedic Surgery Physician
  • San Antonio, TX
National Provider Identifier
1548236573
Registry record updated Dec 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
D0143 Issued in TX
Practice address
21 Spurs LN Ste 248
San Antonio, TX 78240-1671
Phone
(210) 558-7025
Fax
(210) 558-4762
NPI assigned
Feb 28, 2006
Last updated
Dec 9, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X D0143 TX Primary
Orthopaedic Hand Surgery Physician 207XS0106X D0143 TX

Addresses

Primary practice location

21 Spurs LN Ste 248
San Antonio, TX 78240-1671

Mailing address

21 Spurs LN Ste 248
San Antonio, TX 78240-1671
Phone (210) 558-7025

Other identifiers 3

IdentifierTypeStateIssuer
126273502MedicaidTX
126273507OtherTXCSHCN
126273506MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20100128000597 TX Practitioner - Orthopedic SurgeryPractitioner - Hand Surgery 6406951706 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic SurgeryAlso: Hand Surgery
Education
Baylor College of Medicine, 1962
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hand Center PAGroup PAC ID 9537127147, 7 clinicians

Practice addresses (Care Compare)

21 Spurs LN
Suite 248
San Antonio, TX 78240-1669
Phone (210) 558-7025

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hand Center PA Orthopaedic Surgery CurrentSince Oct 1, 1999 Accepting new patients
San Antonio Surgery Center PastSince Oct 1, 2006 Accepting new patients
Hill Country Electrodiagnostics PLLC PastSince Oct 1, 1999 Accepting new patients

Locations

21 Spurs Ln
Ste 248
San Antonio, TX 78240
Phone (210) 558-7025

21 Spurs Ln
Ste 310
San Antonio, TX 78240
Phone (210) 558-7025

9150 Huebner Rd
Ste 290
San Antonio, TX 78240
Phone (210) 615-3566

Interoperability endpoints

  • Direct secure messaging: david.green@1333.chartlogic.direct-ci.com

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 1

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": "1141084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733702400000",
    "number": "1548236573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 SPURS LN STE 248",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782401671",
            "telephone_number": "210-558-7025",
            "fax_number": "210-558-4762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 SPURS LN STE 248",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782401671",
            "telephone_number": "210-558-7025",
            "fax_number": "210-558-4762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "DAVID",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-28",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "D0143",
            "primary": true
        },
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "TX",
            "license": "D0143",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "126273502",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CSHCN",
            "identifier": "126273507",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "126273506",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.