MR. ADAM CAMPO GREEN CAA
NPI 1548085269
Anesthesiologist Assistant in Dayton, OH

Active since November 18, 2024Accepts Medicare Assignment
1 WYOMING ST, DAYTON, OH 45409(937) 208-8000 Get Directions Write a Review

NPPES record last updated: September 10, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Sep 10, 2025, Nov 18, 2024 (2 updates tracked since 2024).

About Mr. Adam Campo Green Caa NPPES

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

MR. ADAM CAMPO GREEN CAA (NPI 1548085269) is an individual anesthesiologist assistant in Dayton, Ohio, licensed in Missouri (PENDING) and active in the NPI registry since November 2024. He is affiliated with Mercy Hospital St Louis, maintains a secondary practice location in Saint Louis, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1548085269
Entity TypeIndividualMale
Primary Taxonomy367H00000X
Provider Legal NameMR. ADAM CAMPO GREENCredential: CAA
Location Address1 WYOMING STDayton, OH 45409-2711
Mailing Address339 Consort DrBallwin, MO 63011-4439 · (636) 386-9224 · Fax (636) 386-7679
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateNovember 18, 2024
Last NPPES UpdateSeptember 10, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 10, 2025
NPI 1548085269 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAnesthesiologist AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367H00000X
License Licensed in MO · PENDING
Definition
An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.
1 WYOMING ST, Dayton, OH 45409

Secondary Practice Location 1

Location 1615 S New Ballas RdSaint Louis, MO 63141-8221 · Phone (314) 251-6000

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

Mr. Adam Campo Green Caa 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 ID9032649199
PECOS Enrollment IDI20250205001955, I20250926003942

Hospital Affiliations CMS Care Compare 2

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

Mercy Hospital St Louis

Acute Care Hospitals · Saint Louis, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260020
Location615 New Ballas RoadSaint Louis, MO 63141 · St. Louis County
Emergency services Birthing friendly

Miami Valley Hospital

Acute Care Hospitals · Dayton, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360051
LocationOne Wyoming StreetDayton, OH 45409 · Montgomery County
Emergency services Birthing friendly

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.

Student in an Organized Health Care Education/Training Program
1 WYOMING ST
DAYTON, OH 45409
Nurse Anesthetist, Certified Registered
1 WYOMING ST
DAYTON, OH 45409
Pediatrics (Neonatal-Perinatal Medicine)
1 WYOMING ST, NEONATOLOGY OFFICE
DAYTON, OH 45409
Emergency Medicine
1 WYOMING ST
DAYTON, OH 45409
Emergency Medicine
1 WYOMING ST
DAYTON, OH 45409
Psychiatric Unit
1 WYOMING ST
DAYTON, OH 45409
Student in an Organized Health Care Education/Training Program
1 WYOMING ST
DAYTON, OH 45409
Pharmacist
1 WYOMING ST
DAYTON, OH 45409

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 Adam Green's NPI number?

The NPI number for Adam Green is 1548085269. It was assigned to this individual provider in the NPPES registry on November 18, 2024.

Where is Adam Green located?

Adam Green practices at 1 Wyoming St, Dayton, OH 45409. The listed phone number is (937) 208-8000.

What is Adam Green's specialty?

The primary specialty registered for this NPI is Anesthesiologist Assistant with taxonomy code 367H00000X.

Is Adam Green enrolled in Medicare?

Yes. Adam 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.

Is Adam Green affiliated with any hospitals?

According to CMS data, Adam Green is affiliated with Mercy Hospital St Louis and Miami Valley Hospital.

When was this NPI record last updated?

The NPPES record for Adam Green was last updated on September 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.