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

Q: 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.

Q: What is Glen Green's specialty?

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

Q: 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.

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: August 16, 2026.

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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, and ordering and referring status from the CMS PECOS system.

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.

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)