Individual provider Active NPI

Alan Hillel Green, D.P.M.

  • Foot Surgery Podiatrist
  • Chestnut Hill, MA
National Provider Identifier
1689698441
Registry record updated Aug 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
1679 Issued in MA
Practice address
1244 Boylston St
Suite 101
Chestnut Hill, MA 02467-2116
Phone
(617) 232-1752
Fax
(617) 566-3919
NPI assigned
Jul 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X 1679 MA Primary

Addresses

Primary practice location

1244 Boylston St
Suite 101
Chestnut Hill, MA 02467-2116

Mailing address

2000 Washington St
Ste 470
Newton, MA 02462-1629
Phone (617) 232-1752

Other identifiers 1

IdentifierTypeStateIssuer
0360937MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050725001012 MA Practitioner - Podiatry 2062449671 Reassigns benefits to 1 organization
I20220304001322 FL Practitioner - Podiatry 2062449671

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1679MAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Jems Foot Care PLLC Current Accepting new patients
Atrius Health, Inc. CurrentSince May 1, 2015 Accepting new patients
Atrius Health, Inc. Current Accepting new patients
Atrius Health, Inc. CurrentSince May 1, 2015 Accepting new patients

Locations

133 Brookline Ave
Boston, MA 02215
Phone (617) 421-1000

1244 Boylston St
Fl 101
Chestnut Hill, MA 02467
Phone (617) 232-1752

1 Lyons St
Dedham, MA 02026
Phone (781) 278-5511

2000 Washington St
Ste 470
Newton Lower Falls, MA 02462
Phone (617) 630-1818

Interoperability endpoints

  • Direct secure messaging: alan.green.1@28097.direct.athenahealth.com

Organizations & group practices 4

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1504051200000",
    "number": "1689698441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 WASHINGTON ST",
            "address_2": "STE 470",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024621629",
            "telephone_number": "617-232-1752",
            "fax_number": "617-566-3919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1244 BOYLSTON ST",
            "address_2": "SUITE 101",
            "city": "CHESTNUT HILL",
            "state": "MA",
            "postal_code": "024672116",
            "telephone_number": "617-232-1752",
            "fax_number": "617-566-3919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "ALAN",
        "middle_name": "HILLEL",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2017-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "MA",
            "license": "1679",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0360937",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chestnut Hill, MA

Sources for this page

Verify at the official NPI Registry.