SHANNON GREEN
NPI 1306370150
Radiology - Diagnostic Radiology in San Diego, CA

Active since April 19, 2017PECOS EnrolledAccepts Medicare Assignment
200 W ARBOR DR # MC8425, SAN DIEGO, CA 92103(619) 543-3534 Get Directions Write a Review

NPPES record last updated: October 27, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 27, 2023, Oct 3, 2021, Apr 19, 2017 (3 updates tracked since 2017).

About Shannon Green NPPES

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

SHANNON GREEN (NPI 1306370150) is an individual diagnostic radiology provider in San Diego, California, licensed in California (A160498) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1306370150
Entity TypeIndividualFemale
Primary Taxonomy2085R0202X
Provider Legal NameSHANNON GREEN
Location Address200 W ARBOR DR # MC8425San Diego, CA 92103-1911
Mailing Address200 W Arbor Dr # Mc8425San Diego, CA 92103-1911 · (619) 543-3534
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateApril 19, 2017
Last NPPES UpdateOctober 27, 20233 updates tracked since enumeration
NPPES CertifiedOctober 3, 2021
NPI 1306370150 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License Licensed in CA · A160498
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Also ListedInternal MedicineTaxonomy 207R00000X · License A160498 (CA)
200 W ARBOR DR # MC8425, San Diego, CA 92103

Other Names 1

Former Name (1)Shannon Marie Murphy

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Shannon Green is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5092166017
PECOS Enrollment IDI20240103004403
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92103 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$76.87 typical visit price
range $20.62 – $151.42
Typical copayment $19.21 (range $5.15 – $37.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Internal Medicine
200 W ARBOR DR # MC8425
SAN DIEGO, CA 92103
Student in an Organized Health Care Education/Training Program
200 W ARBOR DR # MC8425
SAN DIEGO, CA 92103
Student in an Organized Health Care Education/Training Program
200 W ARBOR DR # MC8425
SAN DIEGO, CA 92103
Internal Medicine
200 W ARBOR DR # MC8425
SAN DIEGO, CA 92103
Student in an Organized Health Care Education/Training Program
200 W ARBOR DR # MC8425
SAN DIEGO, CA 92103
Internal Medicine
200 W ARBOR DR # MC8425
SAN DIEGO, CA 92103
Internal Medicine
200 W ARBOR DR # MC8425
SAN DIEGO, CA 92103
Student in an Organized Health Care Education/Training Program
200 W ARBOR DR # MC8425
SAN DIEGO, CA 92103

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 Shannon Green's NPI number?

The NPI number for Shannon Green is 1306370150. It was assigned to this individual provider in the NPPES registry on April 19, 2017. The provider is also known as Shannon Marie Murphy.

Where is Shannon Green located?

Shannon Green practices at 200 W Arbor Dr # Mc8425, San Diego, CA 92103. The listed phone number is (619) 543-3534.

What is Shannon Green's specialty?

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

Is Shannon Green enrolled in Medicare?

Yes. Shannon Green is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Shannon Green was last updated on October 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.