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KIMBERLY L NEWELL GREEN MD
NPI 1952489593
Pediatrics in San Francisco, CA

Active since November 01, 2006PECOS Enrolled
530 DIVISADERO ST STE 108, SAN FRANCISCO, CA 94117(415) 725-5422 Get Directions Write a Review

NPPES record last updated: August 9, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Kimberly L Newell Green Md NPPES

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

KIMBERLY L NEWELL GREEN MD (NPI 1952489593) is an individual pediatrics provider in San Francisco, California, licensed in California (A80595) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1952489593
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameKIMBERLY L NEWELL GREENCredential: MD
Location Address530 DIVISADERO ST STE 108San Francisco, CA 94117-2213
Mailing Address530 Divisadero St Ste 108San Francisco, CA 94117-2213 · (415) 725-5422
Phone(415) 725-5422
Sole ProprietorNo
Enumeration DateNovember 1, 2006
Last NPPES UpdateAugust 9, 2024
NPPES CertifiedAugust 9, 2024
✔ NPI 1952489593 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CA · A80595
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
530 DIVISADERO ST STE 108, San Francisco, CA 94117
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Other Identifiers 1

Medicaid00A805950CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kimberly L Newell Green Md 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.

Medicare Billing Reassignment

Medicare enrollment records show Kimberly Newell Green reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Permanente Medical Group Inc
0.6 mi
Internal Medicine
2238 GEARY
San Francisco, CA 94116
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1841373800 (415) 833-2200

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94117 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Kimberly Newell Green's NPI number?

The NPI number for Kimberly Newell Green is 1952489593. It was assigned to this individual provider in the NPPES registry on November 1, 2006.

Where is Kimberly Newell Green located?

Kimberly Newell Green practices at 530 Divisadero St Ste 108, San Francisco, CA 94117. The listed phone number is (415) 725-5422.

What is Kimberly Newell Green's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Kimberly Newell Green enrolled in Medicare?

Yes. Kimberly Newell Green is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kimberly Newell Green's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Newell Green reassigns Medicare benefits to Permanente Medical Group Inc (San Francisco, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kimberly Newell Green's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kimberly Newell Green was last updated on August 9, 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.