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DALLIS. LOUIS GREEN M.D.
NPI 1386806479
Surgery in Suffolk, VA

Active since June 30, 2008PECOS Enrolled
1531 OLDE MILL CREEK DR, SUFFOLK, VA 23434(504) 858-6857 Get Directions Write a Review

NPPES record last updated: April 7, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dallis. Louis Green M.d. NPPES

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

DALLIS. LOUIS GREEN M.D. (NPI 1386806479) is an individual surgery provider in Suffolk, Virginia, licensed in Virginia (N/A) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1386806479
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDALLIS. LOUIS GREENCredential: M.D.
Location Address1531 OLDE MILL CREEK DRSuffolk, VA 23434-2320
Mailing Address1431 W Nine Mile Rd Unit 11304Pensacola, FL 32534-5373 · (850) 529-5542
Phone(504) 858-6857
Sole ProprietorNo
Enumeration DateJune 30, 2008
Last NPPES UpdateApril 7, 2022
NPPES CertifiedApril 7, 2022
✔ NPI 1386806479 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in VA · N/A
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
1531 OLDE MILL CREEK DR, Suffolk, VA 23434
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dallis. Louis 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 23434 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
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.

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 Dallis. Green's NPI number?

The NPI number for Dallis. Green is 1386806479. It was assigned to this individual provider in the NPPES registry on June 30, 2008.

Where is Dallis. Green located?

Dallis. Green practices at 1531 Olde Mill Creek Dr, Suffolk, VA 23434. The listed phone number is (504) 858-6857.

What is Dallis. Green's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Dallis. Green enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Dallis. Green was last updated on April 7, 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.