Individual provider Active NPI

David Adair Green, MD

  • Critical Care Medicine (Internal Medicine) Physician
  • Altoona, PA
National Provider Identifier
1871792127
Registry record updated Jun 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
MD450833 Issued in PA
Practice address
620 Howard Ave
Altoona, PA 16601-4804
Phone
(412) 822-7410
Fax
(412) 822-7411
NPI assigned
Jul 17, 2007
Last updated
Jun 20, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 251796 NY
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 251796 NY
Critical Care Medicine (Internal Medicine) Physician 207RC0200X MD450833 PA Primary
Pulmonary Disease Physician 207RP1001X 251796 NY

Addresses

Primary practice location

620 Howard Ave
Altoona, PA 16601-4804

Mailing address

820 Evergreen Ave
Pittsburgh, PA 15209-2257
Phone (412) 822-7410

Other practice location 1

1900 Pine St
Abilene, TX 79601-2432
Phone (412) 822-7410

Other identifiers 2

IdentifierTypeStateIssuer
1871792127MedicaidTX
102898208-0002MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, VA, GA, TX4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20140430000196 PA Practitioner - Critical Care (Intensivists)Practitioner - Pulmonary DiseasePractitioner - Infectious Disease 5395896732 Reassigns benefits to 1 organization
I20170213000665 VA Practitioner - Critical Care (Intensivists)Practitioner - Pulmonary DiseasePractitioner - Infectious Disease 5395896732
I20181030002749 GA Practitioner - Critical Care (Intensivists)Practitioner - Internal Medicine 5395896732
I20190613002575 TX Practitioner - Critical Care (Intensivists) 5395896732 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Critical Care (Intensivists)
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pcca Texas Intensivists, PLLCGroup PAC ID 7517290109, 19 clinicians

Practice addresses (Care Compare)

1900 Pine St
Abilene, TX 79601-2432
Phone (800) 655-2656

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.06 of 100Reported as group
Quality
85
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
251796NYMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
St. Luke's Physician Group, Inc CurrentSince Nov 7, 2015 Accepting new patients
Pcca Texas Intensivists, PLLC Critical Care Medicine CurrentSince Apr 2, 2019 Accepting new patients
Pittsburgh Critical Care Associates, Inc Critical Care Medicine CurrentSince Feb 4, 2014 Accepting new patients
St. Luke's Physician Group, Inc. Current Accepting new patients
St Luke's Physician Group Inc CurrentSince Nov 7, 2015 Accepting new patients
Payal Patel MD P.C. PastSince Aug 1, 2019 Accepting new patients
Hendrick Medical Center Past Accepting new patients
Upmc Altoona Past Accepting new patients

Locations

1200 Memorial Dr
Dalton, GA 30720
Phone (706) 272-6115

620 Howard Ave
Altoona, PA 16601
Phone (814) 889-2011

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

820 Evergreen Ave
Pittsburgh, PA 15209
Phone (412) 822-7290

1900 Pine St
Abilene, TX 79601
Phone (325) 670-4220

100 Sentara Cir
Williamsburg, VA 23188
Phone (678) 690-7826

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19988/brand/1/csg/1/fhir/r4

Organizations & group practices 8

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 5

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": "1184630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750377600000",
    "number": "1871792127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 EVERGREEN AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152092257",
            "telephone_number": "412-822-7410",
            "fax_number": "412-822-7411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 HOWARD AVE",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166014804",
            "telephone_number": "412-822-7410",
            "fax_number": "412-822-7411"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1900 Pine St",
            "address_purpose": "LOCATION",
            "city": "Abilene",
            "state": "TX",
            "postal_code": "796012432",
            "country_code": "US",
            "telephone_number": "412-822-7410",
            "fax_number": "412-822-7411",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREEN",
        "first_name": "DAVID",
        "middle_name": "ADAIR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-17",
        "last_updated": "2025-06-20",
        "certification_date": "2025-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "251796",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "NY",
            "license": "251796",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "PA",
            "license": "MD450833",
            "primary": true
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NY",
            "license": "251796",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1871792127",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102898208-0002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Altoona, PA

Sources for this page

Verify at the official NPI Registry.