NPIMap

Individual provider Active NPI

Adam W. Green, M.D.

  • Adult Reconstructive Orthopaedic Surgery Physician
  • North Franklin, CT
National Provider Identifier
1679936462
Registry record updated Mar 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Reconstructive Orthopaedic Surgery PhysicianTaxonomy code 207XS0114X
License
70829 Issued in CT
Practice address
82 New Park Ave
North Franklin, CT 06254-1807
Phone
(860) 889-7345
Fax
(860) 823-2953
NPI assigned
Mar 30, 2016
Last updated
Mar 9, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 9, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Orthopaedic Surgery Physician 207X00000X 35.141829 OH
Adult Reconstructive Orthopaedic Surgery Physician 207XS0114X 70829 CT Primary

Addresses

Primary practice location

82 New Park Ave
North Franklin, CT 06254-1807

Mailing address

82 New Park Ave
North Franklin, CT 06254-1807
Phone (860) 889-7345

Other practice location 1

11 Industrial Park Rd
Niantic, CT 06357-1210
Phone (860) 889-7345

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20220720000642 CT Practitioner - Orthopedic Surgery 3173814548 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ptsma IncGroup PAC ID 7911800180, shared by 11 NPIs, 173 clinicians
Norwich Orthopedic Group PCGroup PAC ID 6709820798, 48 clinicians

Practice addresses (Care Compare)

37 S Broad St
Pawcatuck, CT 06379-7909
Phone (860) 495-1919

82 New Park Ave
North Franklin, CT 06254-1807
Phone (860) 889-7345

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.95 of 100Reported as group
Quality
83.12
Improvement activities
40
Cost
84.36

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement51
Knee replacement48
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.141829OHMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Norwich Orthopedic Group, P.C. Single Specialty CurrentSince Sep 1, 2022 Accepting new patients
Norwich Orthopedic Group, P.C. Single Specialty CurrentSince Sep 1, 2022 Accepting new patients

Locations

11 Industrial Park Rd
Niantic, CT 06357
Phone (860) 889-7345

82 New Park Ave
North Franklin, CT 06254
Phone (860) 885-7223

326 Washington St
Norwich, CT 06360
Phone (860) 701-0140

112 Mansfield Ave
Willimantic, CT 06226
Phone (830) 423-6410

5 Founders St
Willimantic, CT 06226
Phone (860) 423-9764

5 Founders St
Ste 203
Willimantic, CT 06226

Interoperability endpoints

  • Direct secure messaging: adam.green@xdr.hhchealthdirect.org

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 10

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": "1459296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678320000000",
    "number": "1679936462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "82 NEW PARK AVE",
            "city": "NORTH FRANKLIN",
            "state": "CT",
            "postal_code": "062541807",
            "telephone_number": "860-889-7345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "82 NEW PARK AVE",
            "city": "NORTH FRANKLIN",
            "state": "CT",
            "postal_code": "062541807",
            "telephone_number": "860-889-7345",
            "fax_number": "860-823-2953"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11 Industrial Park Rd",
            "address_purpose": "LOCATION",
            "city": "Niantic",
            "state": "CT",
            "postal_code": "063571210",
            "country_code": "US",
            "telephone_number": "860-889-7345",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREEN",
        "first_name": "ADAM",
        "middle_name": "W.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-03-30",
        "last_updated": "2023-03-09",
        "certification_date": "2023-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "OH",
            "license": "35.141829",
            "primary": false
        },
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "CT",
            "license": "70829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Franklin, CT

Sources for this page

Verify at the official NPI Registry.