MICHAEL D GREEN (M.D.) – Emergency Medicine Physician, NPI 1164447181
Emergency Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,845 EMERGENCY MEDICINE in IL
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Provider Addresses for MICHAEL D GREEN (M.D.)
1340, West Newport Avenue, Wrigleyville, Lake View, Chicago, Lake View Township, Cook County, Illinois, 60657, United States
CHICAGO, IL 606571412
Phone: (773) 477-4432
Type: Mailing
1133-1135, West Armitage Avenue, Lincoln Park, Chicago, Cook County, Illinois, 60614, United States
CHICAGO, IL 606144103
Phone: (773) 549-4772
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $16.
Total Amount is formed as General ($16) + Research ($0) + Ownership ($0) = $16.
Last reported payment date: 2023-01-17 • Largest payer in this snapshot: Abbott Laboratories ($16).
Total Amount
$16
General + Research + Ownership
Payments
1
Total payment records
General Amount
$16
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-01-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Abbott Laboratories | $16 |
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: 2004-08-23
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040823000800 | I | Emergency Medicine | IL | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 60657)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | WI | |
| Family Practice | IL | |
| - | IA | |
| Diagnostic Radiology | IA | |
| Emergency Medicine | MI | |
| Certified Registered Nurse Anesthetist (Crna) | IL | |
| U R O L O G Y | IL | |
| Diagnostic Radiology | TX | |
| - | IA | |
| Emergency Medicine | IL |
Reviews
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