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CHASE GREEN DO
NPI 1033057690
Student in an Organized Health Care Education/Training Program in Cincinnati, OH

Active since March 24, 2026PECOS Enrolled
375 DIXMYTH AVE, CINCINNATI, OH 45220(513) 862-3562 Get Directions Write a Review

NPPES record last updated: March 24, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Chase Green Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHASE GREEN DO (NPI 1033057690) is an individual student in an organized health care education/training program in Cincinnati, Ohio and active in the NPI registry since March 2026. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1033057690
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameCHASE GREENCredential: DO
Location Address375 DIXMYTH AVECincinnati, OH 45220-2489
Mailing Address375 Dixmyth AveCincinnati, OH 45220-2489
Phone(513) 862-3562
Sole ProprietorNo
Enumeration DateMarch 24, 2026
NPPES CertifiedMarch 24, 2026
✔ NPI 1033057690 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

375 DIXMYTH AVE, Cincinnati, OH 45220
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Chase Green Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ERYNNE HAMILTON ARPN
Nurse Practitioner (Neonatal)
375 DIXMYTH AVE
CINCINNATI, OH 45220
Hamilton County (513) 862-2514
VICTORIA ELIZABETH SIMON MD
Student in an Organized Health Care Education/Training Program
375 DIXMYTH AVE
CINCINNATI, OH 45220
Hamilton County (513) 862-3562
JACOB CANNAN
Pharmacist (Critical Care)
375 DIXMYTH AVE
CINCINNATI, OH 45220
Hamilton County (513) 862-1400
MR. CASEY MCCONNELL GILMORE PA-C
Physician Assistant
375 DIXMYTH AVE, DEPARTMENT OF EMERGENCY MEDICINE
CINCINNATI, OH 45220
Hamilton County (513) 862-2989
ABIGAIL FAITH SOUTHALL APRN, AGACNP
Nurse Practitioner (Acute Care)
375 DIXMYTH AVE
CINCINNATI, OH 45220
Hamilton County (513) 862-1400
JAMES M MERANUS MD
Radiology (Diagnostic Radiology)
375 DIXMYTH AVE
CINCINNATI, OH 45220
Hamilton County (513) 965-8041
DR. COLLIN MICHAEL HERMAN MD
Psychiatry & Neurology (Neurology)
375 DIXMYTH AVE
CINCINNATI, OH 45220
Hamilton County (513) 865-2246
MR. JEFFREY D SMITH CRNA
Nurse Anesthetist, Certified Registered
375 DIXMYTH AVE
CINCINNATI, OH 45220
Hamilton County (513) 872-2432

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Chase Green's NPI number?

The NPI number for Chase Green is 1033057690. It was assigned to this individual provider in the NPPES registry on March 24, 2026.

Where is Chase Green located?

Chase Green practices at 375 Dixmyth Ave, Cincinnati, OH 45220. The listed phone number is (513) 862-3562.

What is Chase Green's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Chase Green enrolled in Medicare?

Yes. Chase Green is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Chase Green was last updated on March 24, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.