TANISHA GREEN (MD) – General Practice Physician, NPI 1174616478

TANISHA GREEN (MD) is a healthcare provider. based in Houston, Texas. specializing in ANESTHESIOLOGY. They hold the professional credentials MD. They hold a License No. M1117 (TX). The NPI Number for TANISHA GREEN (MD) is 1174616478

Main info

Female
25 Years Of Experience
Accepts Medicare Assignment
Name
TANISHA GREEN (MD)
NPI
1174616478
Phone
(713) 620-4000
Address
1500 CITYWEST BLVD STE 300
Enumeration Date
2 October 2006
Last Update Date
2 August 2021

Doctor Profile

Medical School Name
TULANE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
8328347710
Graduation Year
2001 (25 years ago)
PAC ID
4789608183
Group Practice PAC ID
2668731175
Professional Enrollment ID
I20070531000587
Address ID
TX770802503HO2801XRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness75
Years active:19State licenses:1Digital endpointsOther names

4,591 ANESTHESIOLOGY in TX

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Provider Addresses for TANISHA GREEN (MD)

  • Citywest Boulevard, Houston, Harris County, Texas, 77042-9998, United States

    HOUSTON, TX 77042

    Phone: (713) 620-4000

    Type: Location

  • Band Box Place, Dallas, Dallas County, Texas, 75244, United States

    DALLAS, TX 752840863

    Phone: (713) 620-4000

    Type: Mailing

  • 12111 SAN LUCA ST

    RICHMOND, TX 774061542

    Phone: (713) 882-7223

    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: 2007-05-31

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
I20070531000587IAnesthesiologyTXTBD

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 77042)

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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: 2668731175View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YMI
A N E S T H E S I O L O G YMI
A N E S T H E S I O L O G YTX
Interventional Pain ManagementTX
Internal MedicineTX
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)TX

Reviews

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Frequently asked questions

Is TANISHA GREEN (MD) listed with a National Provider Identifier?
Yes — TANISHA GREEN (MD) has NPI 1174616478 on file in the registry.
Active or inactive — what applies to TANISHA GREEN (MD)?
You should see TANISHA GREEN (MD) as active in CMS-hosted NPPES data.
What kind of doctor is TANISHA GREEN (MD)?
TANISHA GREEN (MD) is associated with General Practice Physician in the directory — Clinical services aligned with this taxonomy classification.
Is TANISHA GREEN (MD) associated with Houston?
Public fields place TANISHA GREEN (MD) around Houston, Texas. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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