BROOKE KATHERINE GREENE (MD) – Pediatrics Physician, NPI 1013593680

BROOKE KATHERINE GREENE (MD) is a healthcare provider. based in Indianapolis, Indiana. specializing in PEDIATRIC MEDICINE. They hold the professional credentials MD. They hold a License No. 01090575A (IN). The NPI Number for BROOKE KATHERINE GREENE (MD) is 1013593680

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
BROOKE KATHERINE GREENE (MD)
NPI
1013593680
Phone
(317) 338-7510
Address
8414 Naab Rd Ste 200
Enumeration Date
23 March 2021
Last Update Date
18 August 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8124854000
Graduation Year
2021 (5 years ago)
PAC ID
7719389568
Group Practice PAC ID
1557313939
Professional Enrollment ID
I20240422000332
Address ID
IN477140550EV3900XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness85
Years active:5State licenses:1Digital endpointsOther names

667 PEDIATRIC MEDICINE in IN

Provider Addresses for BROOKE KATHERINE GREENE (MD)

  • 8414 Naab Rd Ste 200

    Indianapolis, IN 462601972

    Phone: (317) 338-7510

    Fax: (317) 338-7541

    Type: Location

  • 3900 Washington Ave

    Evansville, IN 477140550

    Phone: (812) 485-4000

    Fax: (812) 485-4893

    Type: Location

  • 2001 W 86TH ST

    INDIANAPOLIS, IN 462601902

    Phone:

    Type: Mailing

  • 8414 NAAB RD STE 200

    INDIANAPOLIS, IN 462601972

    Phone: (317) 338-7510

    Fax: (317) 338-7541

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $34.

Total Amount is formed as General ($34) + Research ($0) + Ownership ($0) = $34.

Last reported payment date: 2024-10-24 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($17).

Total Amount

$34

General + Research + Ownership

Payments

2

Total payment records

General Amount

$34

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-24

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2024-04-22

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240422000332IPediatric MedicineINTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 46260)

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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: 1557313939View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YOH
Nurse PractitionerKY
Pediatric MedicineIN
O B S T E T R I C S/ G Y N E C O L O G YIL
H E M A T O L O G Y/ O N C O L O G YIN
O B S T E T R I C S/ G Y N E C O L O G YWA
Nurse PractitionerIN
-IN
Otolaryngology, Pediatric MedicineIN
Gastroenterology, Pediatric MedicineIN

Reviews

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Frequently asked questions

What is the registry number for BROOKE KATHERINE GREENE (MD)?
The registry entry for BROOKE KATHERINE GREENE (MD) shows NPI 1013593680.
Should I treat BROOKE KATHERINE GREENE (MD) as an active provider?
Patients and plans typically see BROOKE KATHERINE GREENE (MD) as active in the national extract.
What type of care does BROOKE KATHERINE GREENE (MD) provide?
BROOKE KATHERINE GREENE (MD)'s profile centers on Pediatrics Physician. Clinical services aligned with this taxonomy classification.
Is BROOKE KATHERINE GREENE (MD) tied to Indianapolis, Indiana?
If you are local to Indianapolis, Indiana, BROOKE KATHERINE GREENE (MD) may be relevant to your search.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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