Active NPI
Travis Paul Green, M.D.
- Urology Physician
- Houston, TX
National Provider Identifier
1740635119
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- T0498
- Practice address
- 1315 St Joseph Pkwy Ste 1502
Houston, TX 77002-8327 - Phone
- (713) 650-1502
- Fax
- (713) 751-1633
- NPI assigned
- May 4, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | T0498 | TX | Primary |
Addresses
Primary practice location
1315 St Joseph Pkwy Ste 1502
Houston, TX 77002-8327
Mailing address
1315 St Joseph Pkwy Ste 1502
Houston, TX 77002-8327
Phone (713) 650-1502
Other practice location 1
2020 Nasa Pkwy Ste 250
Houston, TX 77058-3697
Phone (281) 957-9658
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Urology
- Education
- University of Texas Medical Branch at Galveston, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
11476 Space Ctr Blvd
Suite 100
Houston, TX 77059-3656
Phone (713) 486-6335
Hospital & facility affiliations
- Memorial Hermann - Texas Medical Center
- Memorial Hermann Hospital System
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Prostate resection | 1-10 |
| Melanoma (skin cancer) excision | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T0498 | TX | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gulf Coast Urology P.a. | Urology | Current | Accepting new patients |
Locations
1200 Binz St
Ste 460
Houston, TX 77004
Phone (713) 621-5600
2020 Nasa Pkwy
Ste 250
Houston, TX 77058
Phone (713) 650-1502
1315 St Joseph Pkwy
Ste 1502
Houston, TX 77002
Phone (713) 650-1502
Interoperability endpoints
- tgreen14755@direct.uth.org
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.
-
- Anesthesiology Physician
- Houston, TX
- NPI 1033157821
-
- Urology Physician
- Houston, TX
- NPI 1356435267
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- Houston, TX
- NPI 1437189115
Hospital
-
- General Acute Care Hospital
- Houston, TX
- NPI 1730132234
-
- General Acute Care Hospital
- Houston, TX
- NPI 1982666111
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1462320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1740635119",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1315 ST JOSEPH PKWY STE 1502",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770028327",
"telephone_number": "713-650-1502",
"fax_number": "713-751-1633"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1315 ST JOSEPH PKWY STE 1502",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770028327",
"telephone_number": "713-650-1502",
"fax_number": "713-751-1633"
}
],
"practiceLocations": [
{
"address_1": "2020 Nasa Pkwy Ste 250",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "770583697",
"country_code": "US",
"telephone_number": "281-957-9658",
"fax_number": "832-864-2251",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GREEN",
"first_name": "TRAVIS",
"middle_name": "PAUL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-05-04",
"last_updated": "2023-03-07",
"certification_date": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "TX",
"license": "T0498",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.