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GLEN A. GREEN M.D.
NPI 1477505907
Pediatrics - Neonatal-Perinatal Medicine in Norfolk, VA

Active since May 16, 2006PECOS EnrolledAccepts Medicare Assignment
601 CHILDRENS LN, NORFOLK, VA 23507(757) 668-7456(757) 668-9255 Get Directions Write a Review

NPPES record last updated: December 9, 2009. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Glen A. Green M.d. NPPES

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

GLEN A. GREEN M.D. (NPI 1477505907) is an individual neonatal-perinatal medicine provider in Norfolk, Virginia, licensed in Virginia (0101039300) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1983).

NPPES Registry Identity

NPI1477505907
Entity TypeIndividualMale
Primary Taxonomy2080N0001X
Provider Legal NameGLEN A. GREENCredential: M.D.
Location Address601 CHILDRENS LNNorfolk, VA 23507-1910
Mailing AddressPo Box 79137Baltimore, MD 21279-0137 · (757) 668-7200 · Fax (757) 668-9691
Phone(757) 668-7456
Fax(757) 668-9255
Sole ProprietorNo
Medical School CMSOtherGraduated 1983
Enumeration DateMay 16, 2006
Last NPPES UpdateDecember 9, 2009
✔ NPI 1477505907 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080N0001X
License✔ Licensed in VA · 0101039300
Definition
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
Also ListedAnesthesiologyTaxonomy 207L00000X · License 0101039300 (VA)
Also ListedPediatricsTaxonomy 208000000X · License 0101039300 (VA)
601 CHILDRENS LN, Norfolk, VA 23507
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Other Identifiers 8

Medicaid0018694320001PA
Medicaid1802339000WV
Medicare ID-Type Unspecified370000934VA
Medicaid890677BNC
Medicaid006722164VA
Medicare UPINF03192
Medicaid0000931601DE
Medicaid119981100MD

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

Glen A. 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.

PECOS PAC ID3779628565
PECOS Enrollment IDI20100304000413
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.

Medicare Billing Reassignment

Medicare enrollment records show Glen Green reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Childrens Specialty Group PLLC
Same address
Pediatrics
601 CHILDRENS LN
Norfolk, VA 23507
  • Reassigned Medicare billing, Virginia enrollment
  • 549 clinicians in this Medicare group
NPI 1255354130 (757) 668-7007

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.

BELINDA JAMES-PETERSEN CPNP
Nurse Practitioner (Pediatrics)
601 CHILDRENS LN
NORFOLK, VA 23507
Norfolk City (757) 668-7240
KELLY PATINO TREJO LCSW
Social Worker (Clinical)
601 CHILDRENS LN
NORFOLK, VA 23507
Norfolk City (757) 668-7931
ALIYAH RAYHANAH MOHAMMED MD
Student in an Organized Health Care Education/Training Program
601 CHILDRENS LN
NORFOLK, VA 23507
Norfolk City (757) 668-7000
SWETHA MORA M.B.B.S
Student in an Organized Health Care Education/Training Program
601 CHILDRENS LN
NORFOLK, VA 23507
Norfolk City (757) 668-7272
KACIE DENISE CARTER CPNP
Nurse Practitioner (Pediatrics)
601 CHILDRENS LN
NORFOLK, VA 23507
Norfolk City (757) 668-8796
PETER M DOZIER MD
Psychiatry & Neurology (Child & Adolescent Psychiatry)
601 CHILDRENS LN
NORFOLK, VA 23507
Norfolk City (757) 668-8866
STEPHEN C. RESTAINO DO
Pediatrics
601 CHILDRENS LN
NORFOLK, VA 23507
Norfolk City (757) 668-7179
MICHAEL LEE SMITH M.D.
Pediatrics
601 CHILDRENS LN
NORFOLK, VA 23507
Norfolk City (757) 668-7456

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 Glen Green's NPI number?

The NPI number for Glen Green is 1477505907. It was assigned to this individual provider in the NPPES registry on May 16, 2006.

Where is Glen Green located?

Glen Green practices at 601 Childrens Ln, Norfolk, VA 23507. The listed phone number is (757) 668-7456.

What is Glen Green's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Is Glen Green enrolled in Medicare?

Yes. Glen 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 Glen Green's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Glen Green reassigns Medicare benefits to Childrens Specialty Group PLLC (Norfolk, VA). 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 Glen 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 Glen Green was last updated on December 9, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.