MS. ANGELIQUE GREEN M.D.
NPI 1427269067
General Practice in Oakland, CA
About Ms. Angelique Green M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. ANGELIQUE GREEN M.D. (NPI 1427269067) is an individual general practice provider in Oakland, California, licensed in California (G081954) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS and is a graduate of University Of California, Davis School Of Medicine (1993).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Ms. Angelique Green M.d. 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.
Medicare Billing Reassignment
Medicare enrollment records show Angelique Green reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Cloverdale, CA 95425
- Reassigned Medicare billing, California enrollment
- 8 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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 Angelique Green's NPI number?
The NPI number for Angelique Green is 1427269067. It was assigned to this individual provider in the NPPES registry on May 25, 2007.
Where is Angelique Green located?
Angelique Green practices at 510 17th St, Oakland, CA 94612. The listed phone number is (510) 433-1160.
What is Angelique Green's specialty?
The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.
Is Angelique Green enrolled in Medicare?
Yes. Angelique 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.
Which organization bills Medicare for Angelique Green's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Angelique Green reassigns Medicare benefits to Coppertower Family Medical Center (Cloverdale, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Angelique Green's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Angelique Green was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Ms. Angelique Green, M.D. · NPI 1427269067
General Practice physician in Oakland, California. Individual provider, active in the CMS NPPES registry since May 25, 2007.
## Identity
- **NPI:** 1427269067 (Entity type: Individual)
- **Enumerated:** May 25, 2007
- **Primary specialty:** General Practice · taxonomy 208D00000X
- **State license:** G081954 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 510 17TH ST, Oakland, CA 94612-1553
- **Phone:** (510) 433-1160
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Coppertower Family Medical Center (NPI 1033534466, Cloverdale, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of California, Davis School Of Medicine, class of 1993
## Record status
- **NPPES last updated:** July 8, 2007
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Source: [NPI Profile](https://npiprofile.com/npi/1427269067) · Data from the CMS NPPES public registry.