AVERY ALEXANDER GREEN
NPI 1538809777
Internal Medicine in Dallas, TX

Q: 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.

Q: What is Avery Green's specialty?

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

Q: 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 10 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.

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: August 30, 2026.

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

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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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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

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.

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

Ut Southwestern University Hospital - William P. Clements Jr.

Acute Care Hospitals · Dallas, TX

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)