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ANDY GREEN MD PA
NPI 1083647788
Dermatology in Miami, FL

Active since July 08, 2006
1380 NE MIAMI GARDENS DR, STE 270, MIAMI, FL 33179(305) 945-2877(305) 945-2878 Get Directions Write a Review

NPPES record last updated: September 17, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Andy Green Md Pa NPPES

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

ANDY GREEN MD PA (NPI 1083647788) is a healthcare organization registered as a dermatology in Miami, Florida and active in the NPI registry since July 2006. The organization lists Andy Ray Green, President/owner, as its authorized official.

NPPES Registry Identity

NPI1083647788
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameANDY GREEN MD PA
Location Address1380 NE MIAMI GARDENS DR, STE 270Miami, FL 33179-4721
Mailing Address1380 Ne Miami Gardens Dr, Ste 270Miami, FL 33179-4721 · (305) 945-2877 · Fax (305) 945-2878
Phone(305) 945-2877
Fax(305) 945-2878
Organization SubpartNo
Authorized OfficialAndy Ray GreenPresident/owner · (305) 945-2877
Enumeration DateJuly 8, 2006
Last NPPES UpdateSeptember 17, 2007
✔ NPI 1083647788 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in FL · ME86150
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
1380 NE MIAMI GARDENS DR, Miami, FL 33179
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Other Identifiers 3

Medicare PINK7488FL
Medicare ID-Type Unspecified29163ZFL
Medicare UPINH92491FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Andy 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 Andy Green MD PA, which bills Medicare for the services this clinician delivers.

Clinician (1)

Andy Green, M.D.
Dermatology
NPI 1588610232
1380 NE MIAMI GARDENS DR SUITE 270
Miami, FL 33179
(305) 945-2877
✔ PECOS✔ Accepts MedicareSame address

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 Andy Green MD PA's NPI number?

The NPI number for Andy Green MD PA is 1083647788. It was assigned to this organization in the NPPES registry on July 8, 2006.

Where is Andy Green MD PA located?

Andy Green MD PA is located at 1380 NE Miami Gardens Dr Ste 270, Miami, FL 33179. The listed phone number is (305) 945-2877.

What is Andy Green MD PA's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Andy Green MD PA enrolled in Medicare?

Yes. Andy Green MD PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Andy Green MD PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dermatology) reassigns their Medicare billing to Andy 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.

What insurance does Andy Green MD PA accept?

Health plans from AvMed list Andy Green MD PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Andy Green MD PA was last updated on September 17, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.