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AVERY ALEXANDER GREEN
NPI 1538809777
Internal Medicine in Dallas, TX

Active since March 29, 2022PECOS EnrolledAccepts Medicare Assignment
6201 HARRY HINES BLVD, DALLAS, TX 75390(214) 645-3597 Get Directions Write a Review

NPPES record last updated: November 3, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Nov 3, 2025, Sep 19, 2025 (2 updates tracked since 2025).

About Avery Alexander Green NPPES

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

AVERY ALEXANDER GREEN (NPI 1538809777) is an individual internal medicine provider in Dallas, Texas, licensed in Texas (W0589) and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS, is affiliated with Laredo Medical Center, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1538809777
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameAVERY ALEXANDER GREEN
Location Address6201 HARRY HINES BLVDDallas, TX 75390-7201
Mailing AddressPo Box 845347Dallas, TX 75284-7208
Phone(214) 645-3597
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateMarch 29, 2022
Last NPPES UpdateNovember 3, 20252 updates tracked since enumeration
NPPES CertifiedNovember 3, 2025
✔ NPI 1538809777 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in TX · W0589
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
6201 HARRY HINES BLVD, Dallas, TX 75390
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

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

Avery Alexander Green 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 ID7719363530
PECOS Enrollment IDI20251205003010
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 Reassignments

4

Medicare enrollment records show Avery Green reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of Texas Southwestern Medical Center At Dallas
0.2 mi
Rehabilitation
6011 HARRY HINES BLVD
Dallas, TX 75235
  • Reassigned Medicare billing, Texas enrollment
  • 5,299 clinicians in this Medicare group
NPI 1043418205 (214) 645-0624
Hcc Of Laredo LLC
398 mi
Internal Medicine
1700 E SAUNDERS ST
Laredo, TX 78041
  • Reassigned Medicare billing, Texas enrollment
  • 94 clinicians in this Medicare group
NPI 1942712252 (866) 931-8882
Laredo Icu, LLC
398 mi
Emergency Medicine
1700 E SAUNDERS ST
Laredo, TX 78041
  • Reassigned Medicare billing, Texas enrollment
  • 49 clinicians in this Medicare group
NPI 1649952649 (956) 796-5000
The Medical College Of Wisconsin, Inc.
853 mi
Internal Medicine
8701 WATERTOWN PLANK RD
Milwaukee, WI 53226
  • Reassigned Medicare billing, Wisconsin enrollment
  • 3,983 clinicians in this Medicare group
NPI 1699720086 (414) 955-7101

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Laredo Medical Center

Acute Care Hospitals · Laredo, TX
2/5 CMS rating
OwnershipProprietary
CMS Certification Number450029
Location1700 East SaundersLaredo, TX 78044 · Webb County
Emergency services Birthing friendly
5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number450044
Location6201 Harry Hines BlvdDallas, TX 75390 · Dallas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75390 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
$131.01 typical visit price
range $57.18 – $172.86
Typical copayment $32.75 (range $14.29 – $43.21)
Most-billed visit code 99204
Established Patient
$100.80 typical visit price
range $18.48 – $141.20
Typical copayment $25.20 (range $4.62 – $35.30)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

ALVIN A CHANDRA M.D.
Internal Medicine (Cardiovascular Disease)
6201 HARRY HINES BLVD
DALLAS, TX 75390
Dallas County (214) 633-5555
MR. JONATHAN DEVRIES D.O.
Psychiatry & Neurology (Psychiatry)
6201 HARRY HINES BLVD
DALLAS, TX 75390
Dallas County (214) 633-0580
ABDULLAH SHOAIB M.D.
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
6201 HARRY HINES BLVD
DALLAS, TX 75390
Dallas County (214) 648-3916
DR. SITARAM BARATH MD
Radiology (Vascular & Interventional Radiology)
6201 HARRY HINES BLVD
DALLAS, TX 75390
Dallas County (214) 645-1717
BRITNEY WEBSTER APRN, NNP-BC
Nurse Practitioner (Neonatal, Critical Care)
6201 HARRY HINES BLVD
DALLAS, TX 75390
Dallas County (214) 633-0599
DR. HELEN LYNNE KING M.D.
Internal Medicine (Infectious Disease)
6201 HARRY HINES BLVD
DALLAS, TX 75390
Dallas County (214) 633-5555
MURTAZA AHMED MD
Hospitalist
6201 HARRY HINES BLVD
DALLAS, TX 75390
Dallas County (214) 645-3597
LULU LIU TENORIO MD
Radiology (Diagnostic Radiology)
6201 HARRY HINES BLVD
DALLAS, TX 75390
Dallas County (469) 207-3563

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 Avery Green's NPI number?

The NPI number for Avery Green is 1538809777. It was assigned to this individual provider in the NPPES registry on March 29, 2022.

Where is Avery Green located?

Avery Green practices at 6201 Harry Hines Blvd, Dallas, TX 75390. The listed phone number is (214) 645-3597.

What is Avery Green's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Avery Green enrolled in Medicare?

Yes. Avery 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 organizations bill Medicare for Avery Green's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Avery Green reassigns Medicare benefits to 4 organizations: University Of Texas Southwestern Medical Center At Dallas (Dallas, TX), Hcc Of Laredo LLC (Laredo, TX), Laredo Icu, LLC (Laredo, TX) and The Medical College Of Wisconsin, Inc. (Milwaukee, WI). Each 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 Avery Green's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Avery Green accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Avery 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.

Is Avery Green affiliated with any hospitals?

According to CMS data, Avery Green is affiliated with Laredo Medical Center and Ut Southwestern University Hospital - William P. Clements Jr..

When was this NPI record last updated?

The NPPES record for Avery Green was last updated on November 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.