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DR. DEMETRIS ALLEN GREEN SR. MD
NPI 1699973420
General Practice in Houston, TX

Active since July 03, 2007PECOS EnrolledAccepts Medicare Assignment
2646 S LOOP W, SUITE 440, HOUSTON, TX 77054(713) 808-9658(281) 501-3075 Get Directions Write a Review

NPPES record last updated: August 5, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Demetris Allen Green Sr. Md NPPES

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

DR. DEMETRIS ALLEN GREEN SR. MD (NPI 1699973420) is an individual general practice provider in Houston, Texas, licensed in Texas (J4168) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS and is a graduate of Baylor College Of Medicine (1992).

NPPES Registry Identity

NPI1699973420
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDR. DEMETRIS ALLEN GREEN SR.Credential: MD
Location Address2646 S LOOP W, SUITE 440Houston, TX 77054-2665
Mailing Address2646 S Loop W, Suite 440Houston, TX 77054-2665 · (713) 808-9658 · Fax (281) 501-3075
Phone(713) 808-9658
Fax(281) 501-3075
Sole ProprietorYes
Medical School CMSBaylor College Of MedicineGraduated 1992
Enumeration DateJuly 3, 2007
Last NPPES UpdateAugust 5, 2012
✔ NPI 1699973420 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in TX · J4168
Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Also ListedFamily MedicineTaxonomy 207Q00000X · License J4168 (TX)
2646 S LOOP W, Houston, TX 77054
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Other Identifiers 2

Medicaid2817272TX
Medicare PINTXB134244TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Imperial Insurance Companies, Inc., Molina Healthcare and more.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

Dr. Demetris Allen Green Sr. Md 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 ID7618026170
PECOS Enrollment IDI20090513000222
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
63 services27 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
12 services12 patients

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.

EXECUTIVE THERAPY & EDUCATIONAL SERVICES
Home Health
2646 S LOOP W, SUITE 400
HOUSTON, TX 77054
Harris County (713) 432-7900
TMC PAIN SURGICAL CENTER
Clinic/Center (Pain)
2646 S LOOP W, SUITE 140
HOUSTON, TX 77054
Harris County (713) 661-0300
MS. TAMARA MONEA WELSH FNP
Nurse Practitioner (Family)
2646 S LOOP W, SUITE 220
HOUSTON, TX 77054
Harris County (225) 266-8931
KEN PRATT
Pediatrics
2646 S LOOP W, SUITE 400
HOUSTON, TX 77054
Harris County (713) 432-7900
INFINITY MEDICAL GROUP, PLLC
Clinic/Center (Primary Care)
2646 S LOOP W
HOUSTON, TX 77054
Harris County (832) 297-9279
SIBLINGS HEALTHCARE SOLUTIONS LLC
Home Health
2646 S LOOP W, SUITE 355
HOUSTON, TX 77054
Harris County (713) 218-7099
CHAMPION OF TEXAS EMS, INC.
Ambulance
2646 S LOOP W, 250
HOUSTON, TX 77054
Harris County (713) 294-3243
AJAY K AGGARWAL MDPA
Anesthesiology (Pain Medicine)
2646 S LOOP W, #300
HOUSTON, TX 77054
Harris County (877) 433-4352

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 Demetris Green's NPI number?

The NPI number for Demetris Green is 1699973420. It was assigned to this individual provider in the NPPES registry on July 3, 2007.

Where is Demetris Green located?

Demetris Green practices at 2646 S Loop W Suite 440, Houston, TX 77054. The listed phone number is (713) 808-9658.

What is Demetris Green's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Demetris Green enrolled in Medicare?

Yes. Demetris 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 Demetris Green accept?

Health plans from Blue Cross and Blue Shield of Texas, Imperial Insurance Companies, Inc., Molina Healthcare, UnitedHealthcare and WellPoint list Demetris 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 Demetris Green was last updated on August 5, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.