RONALDO ANTONIO GREEN PA-C, ATC
NPI 1619533544
Physician Assistant - Surgical in Orlando, FL

Active since May 16, 2019PECOS EnrolledAccepts Medicare Assignment
60 COLUMBIA ST, ORLANDO, FL 32806(321) 843-2584 Get Directions Write a Review

NPPES record last updated: April 29, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 6, 2025, May 16, 2019 (2 updates tracked since 2019).

About Ronaldo Antonio Green Pa-c, Atc NPPES

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

RONALDO ANTONIO GREEN PA-C, ATC (NPI 1619533544) is an individual surgical provider in Orlando, Florida, licensed in Florida (PA9119963) and active in the NPI registry since May 2019. He is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1619533544
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameRONALDO ANTONIO GREENCredential: PA-C, ATC
Location Address60 COLUMBIA STOrlando, FL 32806-1115
Mailing Address121 Habersham DrLongwood, FL 32779-4501
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateMay 16, 2019
Last NPPES UpdateApril 29, 20252 updates tracked since enumeration
NPPES CertifiedApril 29, 2025
NPI 1619533544 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in FL · PA9119963
Also ListedSpecialist/Technologist · Athletic TrainerTaxonomy 2255A2300X · License AL4575 (FL)
60 COLUMBIA ST, Orlando, FL 32806

Accepted Insurance

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

Ronaldo Antonio Green Pa-c, Atc 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 ID9335665322
PECOS Enrollment IDI20250502001355
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.

Pediatrics (Pediatric Gastroenterology)
60 COLUMBIA ST
ORLANDO, FL 32806
Nurse Practitioner (Acute Care)
60 COLUMBIA ST
ORLANDO, FL 32806
Physical Therapist
60 COLUMBIA ST
ORLANDO, FL 32806
Physical Therapist (Sports)
60 COLUMBIA ST
ORLANDO, FL 32806
Nurse Practitioner (Family)
60 COLUMBIA ST
ORLANDO, FL 32806
Registered Nurse
60 COLUMBIA ST
ORLANDO, FL 32806
Physician Assistant (Surgical)
60 COLUMBIA ST
ORLANDO, FL 32806
Physician Assistant (Surgical)
60 COLUMBIA ST
ORLANDO, FL 32806

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 Ronaldo Green's NPI number?

The NPI number for Ronaldo Green is 1619533544. It was assigned to this individual provider in the NPPES registry on May 16, 2019.

Where is Ronaldo Green located?

Ronaldo Green practices at 60 Columbia St, Orlando, FL 32806. The listed phone number is (321) 843-2584.

What is Ronaldo Green's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Ronaldo Green enrolled in Medicare?

Yes. Ronaldo 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.

What insurance does Ronaldo Green accept?

Health plans from AmeriHealth Caritas Next and AvMed list Ronaldo 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.

When was this NPI record last updated?

The NPPES record for Ronaldo Green was last updated on April 29, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.