1. Home
  2. Directory
  3. Massachusetts
  4. Worcester
  5. Radiology
  6. NPI Profile

IVAN R GREEN MD
NPI 1215989199
Radiology - Diagnostic Radiology in Worcester, MA

Active since May 17, 2006
135 GOLD STAR BLVD, WORCESTER, MA 01606(508) 853-2716(508) 856-9025 Get Directions Write a Review

NPPES record last updated: February 13, 2009. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Ivan R Green Md NPPES

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

IVAN R GREEN MD (NPI 1215989199) is an individual diagnostic radiology provider in Worcester, Massachusetts, licensed in Massachusetts (36946) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1215989199
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameIVAN R GREENCredential: MD
Location Address135 GOLD STAR BLVDWorcester, MA 01606
Mailing Address630 Plantation StWorcester, MA 01605-2038 · (508) 853-2716 · Fax (508) 856-9025
Phone(508) 853-2716
Fax(508) 856-9025
Sole ProprietorNo
Enumeration DateMay 17, 2006
Last NPPES UpdateFebruary 13, 2009
✔ NPI 1215989199 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in MA · 36946
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
135 GOLD STAR BLVD, Worcester, MA 01606
Open in Google Maps ↗

Other Identifiers 1

Medicare UPINB98839

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.

CHRISTINA BRETON LMHC
Counselor (Mental Health)
135 GOLD STAR BLVD
WORCESTER, MA 01606
Worcester County (774) 433-5421
TASHIANI RENEE' FORMAN
Social Worker (School)
135 GOLD STAR BLVD
WORCESTER, MA 01606
Worcester County (855) 496-8462
ELIZABETH SANCHEZ
Student in an Organized Health Care Education/Training Program
135 GOLD STAR BLVD
WORCESTER, MA 01606
Worcester County (508) 277-5916
TIMOTHY RYAN
Counselor (Mental Health)
135 GOLD STAR BLVD
WORCESTER, MA 01606
Worcester County (774) 433-5452
SARAH MPELKAS
Counselor
135 GOLD STAR BLVD
WORCESTER, MA 01606
Worcester County (508) 459-6400
LORI BRAZELL MSED
Social Worker (Clinical)
135 GOLD STAR BLVD
WORCESTER, MA 01606
Worcester County (508) 318-9025
BRIANNAH M. MOSHER DPT
Physical Therapist
135 GOLD STAR BLVD
WORCESTER, MA 01606
Worcester County (508) 856-9510
DEVON RENFRO LMHC
Counselor (Mental Health)
135 GOLD STAR BLVD
WORCESTER, MA 01606
Worcester County (508) 459-6420

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 Ivan Green's NPI number?

The NPI number for Ivan Green is 1215989199. It was assigned to this individual provider in the NPPES registry on May 17, 2006.

Where is Ivan Green located?

Ivan Green practices at 135 Gold Star Blvd, Worcester, MA 01606. The listed phone number is (508) 853-2716.

What is Ivan Green's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

When was this NPI record last updated?

The NPPES record for Ivan Green was last updated on February 13, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.