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OTTAVIA KIMBERLY GREEN MD
NPI 1336701861
Anesthesiology in Park Ridge, IL

Active since July 04, 2019PECOS Enrolled
1775 DEMPSTER ST, PARK RIDGE, IL 60068(847) 723-2210 Get Directions Write a Review

NPPES record last updated: February 5, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 5, 2025, Aug 1, 2024, Aug 9, 2019 and 1 more (4 updates tracked since 2019).

About Ottavia Kimberly Green Md NPPES

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

OTTAVIA KIMBERLY GREEN MD (NPI 1336701861) is an individual anesthesiology provider in Park Ridge, Illinois, licensed in Illinois (036-170213) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS and maintains a secondary practice location in Saint Louis.

NPPES Registry Identity

NPI1336701861
Entity TypeIndividualFemale
Primary Taxonomy207L00000X
Provider Legal NameOTTAVIA KIMBERLY GREENCredential: MD
Location Address1775 DEMPSTER STPark Ridge, IL 60068-1143
Mailing Address29373 Network PlChicago, IL 60673-1293
Phone(847) 723-2210
Sole ProprietorNo
Enumeration DateJuly 4, 2019
Last NPPES UpdateFebruary 5, 20254 updates tracked since enumeration
NPPES CertifiedFebruary 5, 2025
✔ NPI 1336701861 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
Licenses✔ Licensed in IL · 036-170213✔ Licensed in MO · 2019022382✔ Licensed in TX · V0407
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
1775 DEMPSTER ST, Park Ridge, IL 60068
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Secondary Practice Location 1

Location 11 Barnes Jewish Hospital PlzSaint Louis, MO 63110-1003 · Phone (314) 362-1935

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ottavia Kimberly Green Md 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.

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.

MS. STACEY K ROLINE PA-C
Physician Assistant (Surgical)
1775 DEMPSTER ST
PARK RIDGE, IL 60068
Cook County (847) 723-2210
SANDRA KROSCHEL
Nurse's Aide
1775 DEMPSTER ST
PARK RIDGE, IL 60068
Cook County (847) 723-2210
OLUWATOSIN OLAYEYE APRN
Nurse Practitioner (Critical Care Medicine)
1775 DEMPSTER ST
PARK RIDGE, IL 60068
Cook County (773) 895-5075
PAMELA LYNN DUFFEY RN BSN CEN TNS
Registered Nurse (Emergency)
1775 DEMPSTER ST
PARK RIDGE, IL 60068
Cook County (847) 723-5150
BETH MARIE HILLMAN DO
Emergency Medicine
1775 DEMPSTER ST
PARK RIDGE, IL 60068
Cook County (847) 723-5150
HYO-JIN KIM M.D.
Hospitalist
1775 DEMPSTER ST
PARK RIDGE, IL 60068
Cook County (847) 723-2210
ALEC WESOLOWSKI
Pharmacist
1775 DEMPSTER ST
PARK RIDGE, IL 60068
Cook County (847) 273-7519
DR. LISA ELAINE LAURENZANA MD
Physical Medicine & Rehabilitation
1775 DEMPSTER ST
PARK RIDGE, IL 60068
Cook County (847) 723-2210

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 Ottavia Green's NPI number?

The NPI number for Ottavia Green is 1336701861. It was assigned to this individual provider in the NPPES registry on July 4, 2019.

Where is Ottavia Green located?

Ottavia Green practices at 1775 Dempster St, Park Ridge, IL 60068. The listed phone number is (847) 723-2210.

What is Ottavia Green's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Ottavia Green enrolled in Medicare?

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

What insurance does Ottavia Green accept?

Health plans from Blue Cross and Blue Shield of Texas and Molina Healthcare list Ottavia Green 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 Ottavia Green was last updated on February 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.