DR. DOUGLAS ALLEN GREEN (M.D., PH.D.) – Neuroradiology Physician, NPI 1164635173

DR. DOUGLAS ALLEN GREEN (M.D., PH.D.) is a healthcare provider. based in Temecula, California. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials M.D., PH.D.. They hold a License No. 3992-320 (WI). The NPI Number for DR. DOUGLAS ALLEN GREEN (M.D., PH.D.) is 1164635173

Main info

Male
21 Years Of Experience
Name
DR. DOUGLAS ALLEN GREEN (M.D., PH.D.)
NPI
1164635173
Phone
(951) 600-3811
Address
31700 TEMECULA PKWY
Enumeration Date
7 May 2007
Last Update Date
21 November 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9106104172
Graduation Year
2005 (21 years ago)
PAC ID
0042489668
Group Practice PAC ID
0648208504
Professional Enrollment ID
I20241025002102
Address ID
NC283525501LA500XXDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience98
Completeness85
Years active:19State licenses:5Digital endpointsOther names

4,793 DIAGNOSTIC RADIOLOGY in CA

Loading map...

Provider Addresses for DR. DOUGLAS ALLEN GREEN (M.D., PH.D.)

  • Temecula Valley Hospital, 31700, Temecula Parkway, Madera Vista, Temecula Creek Village, Temecula, Riverside County, California, 92592, United States

    TEMECULA, CA 925925896

    Phone: (951) 600-3811

    Type: Location

  • Old Town Post Office, 28360, Old Town Front Street, Old Town Temecula, Old Town, Temecula, Riverside County, California, 92590, United States

    TEMECULA, CA 925932389

    Phone: (951) 600-3811

    Type: Mailing

  • 701 W Forevergreen Rd

    North Liberty, IA 523179848

    Phone: (319) 356-3375

    Fax: (319) 356-3949

    Type: Location

  • 6000 State Farm Dr Ste 150

    Rohnert Park, CA 949282226

    Phone: (707) 576-4392

    Type: Location

  • 500 E Market St

    Iowa City, IA 522452633

    Phone: (833) 228-6889

    Fax: (877) 853-0376

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-11-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 12 Medicare enrollment records; no due dates published yet.

Enrollment records

12

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20130110000588IDiagnostic RadiologyCATBD
I20240424002152IDiagnostic RadiologyGUTBD
I20240424004185IDiagnostic RadiologySCTBD
I20240516002078IDiagnostic RadiologyCTTBD
I20240516003005IDiagnostic RadiologyIATBD
I20240730002556IDiagnostic RadiologyWYTBD
I20240909000420IDiagnostic RadiologySDTBD
I20240917003167IDiagnostic RadiologyWITBD
I20241025001992IDiagnostic RadiologyILTBD
I20241025002102IDiagnostic RadiologyNCTBD
I20241031003236IDiagnostic RadiologyMATBD
I20241108003323IDiagnostic RadiologyTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
71045X-ray of chest, 1 view829676$0
70450Ct scan head or brain without contrast452422$0
72125Ct scan of upper spine without contrast184181$0
74176Ct scan of abdomen and pelvis without contrast181178$0
74177Ct scan of abdomen and pelvis with contrast151150$0
View full utilization report →

Insurance plans in this area (ZIP 92592)

Loading plans...

Provider's Procedures

DR. DOUGLAS ALLEN GREEN (M.D., PH.D.) performs procedures in DIAGNOSTIC RADIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DIAGNOSTIC RADIOLOGYCA71010X-ray of chest, 1 view, front1137900
DIAGNOSTIC RADIOLOGYCA71250CT scan chest6160
DIAGNOSTIC RADIOLOGYCA73562X-ray of knee, 3 views5248

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0648208504View full group profile
NameSpecialtyState
PETER MICHAEL BRITT (MD)
Diagnostic RadiologyGA
MS. GYETRI MITCHELL (MSN, FNP)
-SC
CHI DAI CHEN (MD)
-SC
IRENE VASKO (D.O.)
Diagnostic RadiologyNC
LEROY JR. ROBERTS (M.D.)
Diagnostic Radiology, NeurologyNC
CHRISTOPHER CRITZER (C.R.N.A)
Certified Registered Nurse Anesthetist (Crna)VA
ALI NASIM (M.D.)
Diagnostic RadiologyNC
DR. LAURA B LYNCH (AUD)
Qualified AudiologistNC
DR. DANIEL MINER (M.D.)
Diagnostic RadiologyNH
DR. TREVOR KYLE LEWIS (M.D.)
Diagnostic Radiology, Interventional RadiologyMO

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What is DR. DOUGLAS ALLEN GREEN (M.D., PH.D.)'s NPI number?
DR. DOUGLAS ALLEN GREEN (M.D., PH.D.)'s NPI is 1164635173 — the number used across U.S. healthcare to identify this provider.
Is DR. DOUGLAS ALLEN GREEN (M.D., PH.D.) still an active registrant?
DR. DOUGLAS ALLEN GREEN (M.D., PH.D.) carries an active NPI according to the public dataset.
How would a patient describe DR. DOUGLAS ALLEN GREEN (M.D., PH.D.)'s focus?
For DR. DOUGLAS ALLEN GREEN (M.D., PH.D.), the primary taxonomy reads as Neuroradiology Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. DOUGLAS ALLEN GREEN (M.D., PH.D.)?
Directory geography for DR. DOUGLAS ALLEN GREEN (M.D., PH.D.) centers on Temecula, California.
When was this NPI issued?
Enumeration for DR. DOUGLAS ALLEN GREEN (M.D., PH.D.) is noted as May 7, 2007 where the registry provides it.