DR. KERRY SCOTT GREEN M.D. NPI 1801835350

NPI Information

  • NPI: 1801835350
  • Provider Name: DR. KERRY SCOTT GREEN, M.D.
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 6112 E BROWN RD
    MESA, AZ
    ZIP 85205
  • Phone: (480) 924-4422

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NPI Details

DR. Kerry Scott Green, M.D. is a family medicine in Mesa, AZ with 25 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Kerry Scott Green, M.D. NPI is 1801835350. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2000

The provider's business location address is:

6112 E BROWN RD
MESA, AZ
ZIP 85205-955
Phone: (480) 924-4422
Fax: (480) 924-8822

The NPI 1801835350 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Influenza vaccine split virus, preservative free (HCPCS:90662)
  • Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
  • Injection of drug or substance under skin or into muscle (HCPCS:96372)
  • Dxa bone density measurement of hip, pelvis, spine (HCPCS:77080)
  • Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and (HCPCS:G0180)
  • Aspiration and/or injection of fluid from large joint (HCPCS:20610)
  • Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg (HCPCS:J3420)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Test to measure expiratory airflow and volume (HCPCS:94010)
  • Injection, methylprednisolone acetate, 40 mg (HCPCS:J1030)
  • Urinalysis, manual test (HCPCS:81002)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Destruction of precancer skin growth, 2-14 growths (HCPCS:17003)
  • Detection test by immunoassay with direct visual observation for influenza virus (HCPCS:87804)
  • Administration of pneumococcal vaccine (HCPCS:G0009)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Destruction of precancer skin growth, 1 growth (HCPCS:17000)
  • Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus (HCPCS:87426)
  • Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment (HCPCS:G0402)
  • Removal of impacted ear wax by washing (HCPCS:69209)
  • Influenza vaccine, quadrivalent, preservative free, 0.5 ml dosage (HCPCS:90686)
  • Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit (HCPCS:G0438)
  • Pneumococcal vaccine, 23-valent (HCPCS:90732)
  • Pneumococcal vaccine, 13-valent (HCPCS:90670)
  • Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report (HCPCS:G0403)
  • Melanoma (skin cancer) excision (HCPCS:NAN03)

The enumeration date for this NPI number is 6/6/2006 and was last updated on 10/25/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine29662ARIZONAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1Z75604MEDICARE ID-TYPE UNSPECIFIEDARIZONA
2H52894MEDICARE UPINARIZONA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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