DAVID GREEN, MD, PA
NPI 1053709824
Dermatology in Bethesda, MD
About David Green, Md, Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DAVID GREEN, MD, PA (NPI 1053709824) is a healthcare organization registered as a dermatology in Bethesda, Maryland and active in the NPI registry since January 2015. The organization lists David Green, Medical Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
David Green, Md, Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to David Green, MD, PA, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 David Green, MD, PA's NPI number?
The NPI number for David Green, MD, PA is 1053709824. It was assigned to this organization in the NPPES registry on January 2, 2015.
Where is David Green, MD, PA located?
David Green, MD, PA is located at 4800 Montgomery Ln #m50, Bethesda, MD 20814. The listed phone number is (301) 907-7250.
What is David Green, MD, PA's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is David Green, MD, PA enrolled in Medicare?
Yes. David Green, MD, PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through David Green, MD, PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dermatology) reassigns their Medicare billing to David Green, MD, PA. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for David Green, MD, PA was last updated on February 18, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# David Green, Md, Pa · NPI 1053709824
Dermatology organization in Bethesda, Maryland. Organization record, active in the CMS NPPES registry since January 2, 2015.
## Identity
- **NPI:** 1053709824 (Entity type: Organization)
- **Enumerated:** January 2, 2015
- **Primary specialty:** Dermatology · taxonomy 207N00000X
- **Organization subpart:** No
- **Authorized official:** David Green, MEDICAL DIRECTOR
## Practice location
- **Address:** 4800 MONTGOMERY LN, #M50, Bethesda, MD 20814-3429
- **Phone:** (301) 907-7250 · **Fax:** (301) 907-7250
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Dermatology) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 18, 2015
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Source: [NPI Profile](https://npiprofile.com/npi/1053709824) · Data from the CMS NPPES public registry.