CHAD B GREEN (PA) – Medical Physician Assistant, NPI 1457371460

CHAD B GREEN (PA) is a healthcare provider. based in Cincinnati, Ohio. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 50.002471 (OH). The NPI Number for CHAD B GREEN (PA) is 1457371460

Main info

Male
15 Years Of Experience
Accepts Medicare Assignment
Name
CHAD B GREEN (PA)
NPI
1457371460
Phone
(513) 475-8690
Address
222 PIEDMONT AVE
Enumeration Date
20 July 2006
Last Update Date
19 January 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9372987751
Graduation Year
2011 (15 years ago)
PAC ID
9830194125
Group Practice PAC ID
3173710936
Professional Enrollment ID
I20060920000086
Address ID
OH454292405KE4441XAVEX400

Contacts

Secure Messaging
cgreen741915@direct.ketteringhealth.org
FHIR Endpoint
https://khnarr.ketthealth.com/FHIR-PROD/api/FHIR/DSTU2/
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

5,032 PHYSICIAN ASSISTANT in OH

Provider Addresses for CHAD B GREEN (PA)

  • 222, Piedmont Avenue, Pill Hill, Corryville, Cincinnati, Hamilton County, Ohio, 45219, United States

    SUITE 2200

    CINCINNATI, OH 452194231

    Phone: (513) 475-8690

    Fax: (513) 475-7243

    Type: Mailing

  • 3535 SOUTHERN BLVD

    KETTERING, OH 454291221

    Phone: (937) 395-6665

    Fax: (937) 395-6668

    Type: Mailing

  • 222 Piedmont Ave

    Suite 2200

    Cincinnati, OH 452194231

    Phone: (513) 475-8690

    Fax: (513) 475-7243

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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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: 2006-09-20

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
I20060920000086IPhysician AssistantOHTBD

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 45219)

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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: 3173710936View full group profile
NameSpecialtyState
Geriatric Medicine, Hematology/OncologyIL
Nurse PractitionerOH
Hematology/Oncology, Internal MedicineOH
Radiation OncologyOH
Nurse PractitionerOH
O B S T E T R I C S/ G Y N E C O L O G YOH
Orthopedic SurgeryOH
Pulmonary Disease, Critical Care (Intensivists), Sleep MedicineOH
Physician AssistantOH
Hospitalist, Emergency MedicineOH

Reviews

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Frequently asked questions

What federal number belongs to CHAD B GREEN (PA)?
The federal identifier for CHAD B GREEN (PA) is NPI 1457371460.
Does this profile mean CHAD B GREEN (PA) is currently active?
Yes — CHAD B GREEN (PA) appears active in the national provider directory.
Can you summarize CHAD B GREEN (PA)'s specialty in plain language?
Clinically, the directory lists CHAD B GREEN (PA) with Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
Where is CHAD B GREEN (PA)'s primary listing?
We display Cincinnati, Ohio because that is what the record indicates for CHAD B GREEN (PA).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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