Individual provider Active NPI

Michael Allen Greene, M.D.

  • Family Medicine Physician
  • Omaha, NE
National Provider Identifier
1992867683
Registry record updated Jan 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
24487 Issued in NE
Practice address
1319 Leavenworth St
Suite 101
Omaha, NE 68102-3215
Phone
(402) 717-0420
Fax
(402) 717-6042
NPI assigned
Dec 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 24487 NE Primary

Addresses

Primary practice location

1319 Leavenworth St
Suite 101
Omaha, NE 68102-3215

Mailing address

PO Box 642117
Omaha, NE 68164-8117
Phone (402) 398-6254

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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

Enrollment IDStateProvider typePAC IDDetails
I20121001000442 NE Practitioner - Family Practice 5395994669 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alegent Creighton ClinicGroup PAC ID 1951210418, 951 clinicians
Crete Area Medical CenterGroup PAC ID 4385556216, shared by 6 NPIs, 20 clinicians

Practice addresses (Care Compare)

2412 Cuming St
Suite 200
Omaha, NE 68131-1601
Phone (402) 717-0800

2910 Betten Dr
Crete, NE 68333-3084
Phone (402) 826-2102

Hospital & facility affiliations

  • CHI Health Bergan Mercy Hospital, Omaha, NE, CCN 280060
  • Pender Community Hospital Hospital, Pender, NE, CCN 281349
  • Crete Area Medical Center Hospital, Crete, NE, CCN 281354

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
24487NEMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
York General Hospital CurrentSince Aug 2, 2025 Accepting new patients
Alegent Creighton Clinic Family Medicine CurrentSince Sep 1, 2012 Accepting new patients
York General Hospital Current Accepting new patients
Crete Area Medical Center CurrentSince Aug 15, 2025 Accepting new patients
York General Hospital CurrentSince Aug 2, 2025 Accepting new patients
Crete Area Medical Center Family Medicine CurrentSince Aug 15, 2025 Accepting new patients
Crete Area Medical Center Current Accepting new patients
Alegent Health Bergan Mercy Health System Past Accepting new patients
Alegent Creighton Clinic Family Medicine Past Accepting new patients

Locations

2771 Solution Ctr
Chicago, IL 60677

2910 Betten Dr
Crete, NE 68333
Phone (402) 826-1191

1319 Leavenworth St
Ste 101
Omaha, NE 68102
Phone (402) 717-0420

2412 Cuming St
Ste 200
Omaha, NE 68131
Phone (402) 717-0380

16909 Lakeside Hills Ct
Ste 401
Omaha, NE 68130
Phone (402) 827-4920

7710 Mercy Rd
Ste 426
Omaha, NE 68124
Phone (402) 343-8650

7261 Mercy Rd
Omaha, NE 68124
Phone (402) 398-6248

2222 N Lincoln Ave
York, NE 68467
Phone (402) 362-0420

Interoperability endpoints

  • Direct secure messaging: mgreene45790@achce.catholichealth.net

Organizations & group practices 9

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.

Hospital & facility affiliations 4

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": "1166227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421798400000",
    "number": "1992867683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 642117",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681648117",
            "telephone_number": "402-398-6254",
            "fax_number": "402-829-8513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1319 LEAVENWORTH ST",
            "address_2": "SUITE 101",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681023215",
            "telephone_number": "402-717-0420",
            "fax_number": "402-717-6042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENE",
        "first_name": "MICHAEL",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-16",
        "last_updated": "2015-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "24487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.