DR. JOHN A GREEN III MD
NPI 1306997499
General Practice in Santa Fe, NM

Active since January 15, 2007Opted out of Medicare · through Apr 26, 2028
3 JUEGO CT, SANTA FE, NM 87508(503) 722-4270(503) 722-4450 Get Directions Write a Review

NPPES record last updated: November 26, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. John A Green Iii Md NPPES

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

DR. JOHN A GREEN III MD (NPI 1306997499) is an individual general practice provider in Santa Fe, New Mexico, licensed in Oregon (MD12292) and active in the NPI registry since January 2007. He has opted out of Medicare through April 26, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1306997499
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDR. JOHN A GREEN IIICredential: MD
Location Address3 JUEGO CTSanta Fe, NM 87508
Mailing Address3 Juego CtSanta Fe, NM 87508 · (503) 722-4270 · Fax (503) 722-4450
Fax(503) 722-4450
Sole ProprietorYes
Enumeration DateJanuary 15, 2007
Last NPPES UpdateNovember 26, 2024
NPI 1306997499 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License Licensed in OR · MD12292
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
3 JUEGO CT, Santa Fe, NM 87508

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Dr. John A Green Iii Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 26, 2014 through April 26, 2028.

Opt-Out Effective DateApril 26, 2014
Opt-Out In Effect ThroughApril 26, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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 John Green's NPI number?

The NPI number for John Green is 1306997499. It was assigned to this individual provider in the NPPES registry on January 15, 2007.

Where is John Green located?

John Green practices at 3 Juego Ct, Santa Fe, NM 87508. The listed phone number is (503) 722-4270.

What is John Green's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is John Green enrolled in Medicare?

No. John Green has opted out of Medicare through April 26, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for John Green was last updated on November 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.