DR. BOB E GREEN M.D.
NPI 1316946544
Internal Medicine - Cardiovascular Disease in Independence, MO

Active since July 19, 2005PECOS Enrolled
19550 E 39TH ST S, SUITE 227, INDEPENDENCE, MO 64057(816) 795-9716(816) 795-6358 Get Directions Write a Review

NPPES record last updated: June 14, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Bob E Green M.d. NPPES

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

DR. BOB E GREEN M.D. (NPI 1316946544) is an individual cardiovascular disease provider in Independence, Missouri, licensed in Kansas (04-25504) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS and maintains a secondary practice location in Merriam.

NPPES Registry Identity

NPI1316946544
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDR. BOB E GREENCredential: M.D.
Location Address19550 E 39TH ST S, SUITE 227Independence, MO 64057-2303
Mailing Address10308 State Line Rd, Suite ALeawood, KS 66206-2658 · (913) 381-7117 · Fax (913) 383-1316
Fax(816) 795-6358
Sole ProprietorNo
Enumeration DateJuly 19, 2005
Last NPPES UpdateJune 14, 2022
NPPES CertifiedJune 14, 2022
NPI 1316946544 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Licenses Licensed in KS · 04-25504 Licensed in MO · MO112759
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
19550 E 39TH ST S, Independence, MO 64057

Secondary Practice Location 1

Location 19119 W 74th St Ste 350Merriam, KS 66204-2268 · Phone (913) 632-9400 · Fax (913) 632-9444

Other Identifiers 3

Medicaid100286810HKS
Medicaid1316946544MO
Medicaid208692103MO

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Bob E Green M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 64057 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
$127.61 typical visit price
range $55.29 – $168.52
Typical copayment $31.90 (range $13.82 – $42.13)
Most-billed visit code 99204
Established Patient
$69.10 typical visit price
range $17.60 – $137.20
Typical copayment $17.27 (range $4.40 – $34.30)
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.

Physician Assistant (Medical)
19550 E 39TH ST S, STE 410
INDEPENDENCE, MO 64057
Specialist
19550 E 39TH ST S, SUITE 400
INDEPENDENCE, MO 64057
Physician Assistant
19550 E 39TH ST S, STE 410
INDEPENDENCE, MO 64057
Specialist
19550 E 39TH ST S, STE 300
INDEPENDENCE, MO 64057
Obstetrics & Gynecology
19550 E 39TH ST S, SUITE 300
INDEPENDENCE, MO 64057
Nurse Practitioner (Women's Health)
19550 E 39TH ST S, SUITE 300
INDEPENDENCE, MO 64057
Neurological Surgery
19550 E 39TH ST S, SUITE 105-A
INDEPENDENCE, MO 64057
Obstetrics & Gynecology
19550 E 39TH ST S, STE 300
INDEPENDENCE, MO 64057

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 Bob Green's NPI number?

The NPI number for Bob Green is 1316946544. It was assigned to this individual provider in the NPPES registry on July 19, 2005.

Where is Bob Green located?

Bob Green practices at 19550 E 39th St S Suite 227, Independence, MO 64057. The listed phone number is (816) 795-9716.

What is Bob Green's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Bob Green enrolled in Medicare?

Yes. Bob Green is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Bob Green was last updated on June 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.