DIANDRA A. GREEN PA-C
NPI 1881186278
Physician Assistant in San Antonio, TX

Q: What is Diandra Green's NPI number?

The NPI number for Diandra Green is 1881186278. It was assigned to this individual provider in the NPPES registry on June 1, 2018. The provider is also known as Diandra Torres Pa-C.

Q: What is Diandra Green's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Diandra Green was last updated on February 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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 01, 2018PECOS Enrolled

4502 MEDICAL DR, SAN ANTONIO, TX 78229(210) 358-2078(210) 358-1972 Get Directions Write a Review

NPPES record last updated: February 5, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 5, 2024, Aug 25, 2021 (2 updates tracked since 2021).

On this page

About Diandra A. Green Pa-c NPPES

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

DIANDRA A. GREEN PA-C (NPI 1881186278) is an individual physician assistant in San Antonio, Texas, licensed in Texas (PA11854) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1881186278

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameDIANDRA A. GREENCredential: PA-C

Location Address4502 MEDICAL DRSan Antonio, TX 78229-4402

Mailing Address4502 Medical DrSan Antonio, TX 78229-4402 · (210) 358-2078 · Fax (210) 358-1972

Phone(210) 358-2078

Fax(210) 358-1972

Sole ProprietorNo

Enumeration DateJune 1, 2018

Last NPPES UpdateFebruary 5, 20242 updates tracked since enumeration

NPPES CertifiedFebruary 5, 2024

✔ NPI 1881186278 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in TX · PA11854

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

4502 MEDICAL DR, San Antonio, TX 78229

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Other Names 1

Former Name (1)Diandra Torres Pa-c

Secondary Practice Locations 2

Location 15656 Kelley StHouston, TX 77026 · Phone (713) 566-5100

Location 26411 Fannin StHouston, TX 77030-1501 · Phone (713) 704-4000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Oscar Insurance Company.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)

Diandra A. Green Pa-c 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78229 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

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$68.55 typical visit price

range $17.52 – $136.11

Typical copayment $17.13 (range $4.38 – $34.02)

Most-billed visit code 99213

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.

EDUARDO N. POLLONO MD

Internal Medicine (Cardiovascular Disease)