Samuel E. Green, M.D.

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

7001 Issued in NV

Practice address

3150 N Tenaya Way Ste 460
Las Vegas, NV 89128-0463

Phone

(702) 233-1000

Fax

(702) 233-1001

NPI assigned

May 23, 2005

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

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NV

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

Cardiovascular Disease (Cardiology)

Education

Albany Medical College of Union University, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Nevada Cardiology Professional AssnGroup PAC ID 8426034307, 10 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mountainview Hospital Hospital, Las Vegas, NV, CCN 290039
• Summerlin Hospital Medical Center Hospital, Las Vegas, NV, CCN 290041
• Centennial Hills Hospital Medical Center Hospital, Las Vegas, NV, CCN 290054

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: samuel.green@nca.eclinicaldirectplus.com
• FHIR API: https://fhir4.healow.com/fhir/r4/JJJCBA

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.

• Nevada Cardiology Professional Assn

  • Cardiovascular Disease Physician
  • Las Vegas, NV
  • NPI 1134122021

  Cardiology

  Medicare reassignment Care Compare group NPD

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

• Centennial Hills Hospital Medical Center

  • Emergency Care Clinic/Center
  • Las Vegas, NV
  • NPI 1295319085

  Hospital

  Care Compare affiliation
• Centennial Hills Hospital Medical Center

  • General Acute Care Hospital
  • Las Vegas, NV
  • NPI 1487771812
  Care Compare affiliation
• Centennial Hills Hospital Medical Center

  • Emergency Care Clinic/Center
  • Las Vegas, NV
  • NPI 1942991245

  Hospital

  Care Compare affiliation
• Summerlin Hospital Medical Center L L C

  • General Acute Care Hospital
  • Las Vegas, NV
  • NPI 1831189638
  Care Compare affiliation
• Summerlin Hospital Medical Center L L C

  • Emergency Care Clinic/Center
  • Las Vegas, NV
  • NPI 1861234619

  Hospital

  Care Compare affiliation
• Sunrise Mountainview Hospital, Inc.

  • General Acute Care Hospital
  • Las Vegas, NV
  • NPI 1104870187
  Care Compare affiliation

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715731200000",
    "number": "1821091992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 S MARYLAND PKWY STE 400",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891092426",
            "telephone_number": "702-796-7150",
            "fax_number": "702-796-9071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3150 N TENAYA WAY STE 460",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891280463",
            "telephone_number": "702-233-1000",
            "fax_number": "702-233-1001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "SAMUEL",
        "middle_name": "E.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-23",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NV",
            "license": "7001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002019596",
            "state": "NV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "samuel.green@nca.eclinicaldirectplus.com",
            "affiliation": "N",
            "endpointDescription": "Direct Messaging Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "3150 N Tenaya Way Ste 460",
            "city": "Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "891280463",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Patrica A Green
• Paul S Green, DC
• Quiana Green
• Rachel Sarah Green, BEHAVIOR TECHNICIAN
• Samuel Carl Green
• Sara Green
• Shameka Green
• Shameka Green
• Shannon Laray Green
• Shapree Karshay Green

• Cardiovascular Disease Physician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Cardiovascular Disease Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2024; 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.