DR. RANDI SESSOMS LASSITER GREEN M.D.
NPI 1619239613
Surgery - Pediatric Surgery in Minneapolis, MN

Q: What is Randi Green's NPI number?

The NPI number for Randi Green is 1619239613. It was assigned to this individual provider in the NPPES registry on June 14, 2012.

Q: What is Randi Green's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Pediatric Surgery, with taxonomy code 2086S0120X.

Q: When was this NPI record last updated?

The NPPES record for Randi Green was last updated on July 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 June 14, 2012PECOS Enrolled

2450 RIVERSIDE AVE, MINNEAPOLIS, MN 55454(612) 626-4214(612) 624-6969 Get Directions Write a Review

NPPES record last updated: July 10, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Jul 10, 2026, Sep 28, 2021, Aug 19, 2019 (3 updates tracked since 2019).

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About Dr. Randi Sessoms Lassiter Green M.d. NPPES

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

DR. RANDI SESSOMS LASSITER GREEN M.D. (NPI 1619239613) is an individual pediatric surgery provider in Minneapolis, Minnesota, licensed in Minnesota (70005) and active in the NPI registry since June 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619239613

Entity TypeIndividualFemale

Primary Taxonomy2086S0120X

Provider Legal NameDR. RANDI SESSOMS LASSITER GREENCredential: M.D.

Location Address2450 RIVERSIDE AVEMinneapolis, MN 55454-1450

Mailing Address2450 Riverside AveMinneapolis, MN 55454-1450 · (612) 626-4214 · Fax (612) 624-6969

Phone(612) 626-4214

Fax(612) 624-6969

Sole ProprietorNo

Enumeration DateJune 14, 2012

Last NPPES UpdateJuly 10, 20263 updates tracked since enumeration

NPPES CertifiedJuly 10, 2026

✔ NPI 1619239613 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySurgery · Pediatric SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code2086S0120X

License✔ Licensed in MN · 70005

Definition

A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.

Also ListedSurgeryTaxonomy 208600000X · License BM6733807-Q141 (GA)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License ME140972 (FL), 184335 (NC)

2450 RIVERSIDE AVE, Minneapolis, MN 55454

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Medica, Sanford Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Randi Sessoms Lassiter Green M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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Rehabilitation Practitioner