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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. KERYL JEAN GREEN M.D.
NPI 1902890965
Family Medicine in Apo, AE

Active since September 07, 2005PECOS Enrolled
435 MDG, UNIT 3215, APO, AE 09094 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Keryl Jean Green M.d. NPPES

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

DR. KERYL JEAN GREEN M.D. (NPI 1902890965) is an individual family medicine provider in Apo, AE, licensed in Illinois (36100844) and active in the NPI registry since September 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902890965
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. KERYL JEAN GREENCredential: M.D.
Location Address435 MDG, UNIT 3215Apo, AE 09094
Mailing AddressPsc 2 Box 12602Apo, AE 09012 · 01149637146
Phone01149637146
Sole ProprietorNo
Enumeration DateSeptember 7, 2005
Last NPPES UpdateJuly 13, 2026
✔ NPI 1902890965 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IL · 36100844
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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. Keryl Jean 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.

DR. JOSEPH RONALD RICHARDS M.D.
Psychiatry & Neurology (Psychiatry)
435 MDG, UNIT 3215
APO, AE 09094
JEAN MARIE BUTTS P.T.
Physical Therapist
435 MDG, UNIT 3215
APO, AE 09094
DR. WILLIAM RAMON BAEZ DDS
Dentist (General Practice)
435 MDG, UNIT 3215
APO, AE 09094
DR. PAUL EDWARD BROWN DMD
Dentist (General Practice)
435 MDG, UNIT 3215
APO, AE 09094
DR. PAUL EDWARD SCHLEIER DDS
Dentist (Prosthodontics)
435 MDG, UNIT 3215
APO, AE 09094
DR. JOSE DEJESUS VILLALOBOS DDS
Dentist (Prosthodontics)
435 MDG, UNIT 3215
APO, AE 09094
MS. VANESSA LYNN BROUSSEAU LSW
Social Worker (Clinical)
435 MDG, UNIT 3215
APO, AE 09094
DR. DAVID EDWARD CORMAN DDS
Dentist (General Practice)
435 MDG, UNIT 3215
APO, AE 09094

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 Keryl Green's NPI number?

The NPI number for Keryl Green is 1902890965. It was assigned to this individual provider in the NPPES registry on September 7, 2005.

Where is Keryl Green located?

Keryl Green practices at 435 Mdg Unit 3215, Apo, AE 09094.

What is Keryl Green's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Keryl Green enrolled in Medicare?

Yes. Keryl Green is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Keryl Green was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 33 days 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.