George Ellis Green, M.D

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

G454410 Issued in CA

Practice address

9460 N Name Uno
#110
Gilroy, CA 95020-3537

Phone

(408) 842-4466

Fax

(408) 848-1355

NPI assigned

Nov 1, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Specialty

Internal MedicineAlso: Critical Care (Intensivists), Pulmonary Disease

Education

Michigan State University College of Human Medicine, 1980

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Hospital & facility affiliations

• Focus Health Home health agency, San Jose, CA, CCN 058354
• Santa Clara Valley Medical Center Hospital, San Jose, CA, CCN 050038
• Hazel Hawkins Memorial Hospital Hospital, Hollister, CA, CCN 051337
• Good Samaritan Hospital Hospital, San Jose, CA, CCN 050380

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: ggreen126162@santaclaravalley.direct-ci.net

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.

• George E Green MD Inc

  • Pulmonary Disease Physician
  • Gilroy, CA
  • NPI 1376718940
  Medicare reassignment Authorized official
• George E. Green, MD, Inc

  • Non-Pharmacy Dispensing Site
  • Gilroy, CA
  • NPI 1134470974
  NPD (past) Authorized official
• County of Santa Clara

  dba Inpatient Acute/Outpatient Facility Services

  • General Acute Care Hospital
  • San Jose, CA
  • NPI 1063406551
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• County of Santa Clara

  dba Inpatient Acute/Outpatient Facility Services

  • General Acute Care Hospital
  • San Jose, CA
  • NPI 1063406551
  Care Compare affiliation
• Good Samaritan Hospital, L.P.

  dba Good Samaritan Hospital

  • General Acute Care Hospital
  • San Jose, CA
  • NPI 1437103777
  Care Compare affiliation
• Hazel Hawkins Memorial Hospital

  dba San Benito Health Care District

  • General Acute Care Hospital
  • Hollister, CA
  • NPI 1275578817
  Care Compare affiliation
• Rehabfocus Home Health, Inc

  dba Focus Health

  • Home Health Agency
  • San Jose, CA
  • NPI 1922240035
  Care Compare affiliation

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289433600000",
    "number": "1811074875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9460 N NAME UNO",
            "address_2": "#110",
            "city": "GILROY",
            "state": "CA",
            "postal_code": "950203537",
            "telephone_number": "408-842-4466",
            "fax_number": "408-848-1355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9460 N NAME UNO",
            "address_2": "#110",
            "city": "GILROY",
            "state": "CA",
            "postal_code": "950203537",
            "telephone_number": "408-842-4466",
            "fax_number": "408-848-1355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "GEORGE",
        "middle_name": "ELLIS",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2010-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "G454410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yvette Gopar
• Pallav Goswamy
• Karina Grajales
• Sylvia Grape
• Georgette Greborio
• Kamene Anna Green
• Lena Greene
• Tahani Griffin
• Jonathan Sharp Grigsby, D.O.
• Reginald Scott Grimes

• Pulmonary Disease Physician in Gilroy, CA
• Providers in Gilroy, CA by specialty
• Pulmonary Disease Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2010; 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.

Verify at the official NPI Registry.