DR. PHILIP A GREEN (MD) – Emergency Medicine Physician, NPI 1104867373

DR. PHILIP A GREEN (MD) is a healthcare provider. based in Seattle, Washington. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. MD00041990 (WA). The NPI Number for DR. PHILIP A GREEN (MD) is 1104867373

Main info

Male
26 Years Of Experience
Accepts Medicare Assignment
Name
DR. PHILIP A GREEN (MD)
NPI
1104867373
Phone
Not provided
Address
PO BOX 34439
Enumeration Date
9 June 2006
Last Update Date
25 May 2021

Doctor Profile

Medical School Name
UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Secondary Phone
5098973320
Graduation Year
2000 (26 years ago)
PAC ID
7315831450
Group Practice PAC ID
2860552973
Professional Enrollment ID
I20040210001025
Address ID
WA993622846WA401XXSTXX400

Contacts

Secure Messaging
pgreen299266@wm.providencedirect.org
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

1,206 EMERGENCY MEDICINE in WA

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Provider Addresses for DR. PHILIP A GREEN (MD)

  • PO BOX 34439

    SEATTLE, WA 981241439

    Phone:

    Type: Mailing

  • Providence Saint Mary Medical Center, 401, West Poplar Street, Walla Walla, Walla Walla County, Washington, 99362, United States

    PSMMC ER

    WALLA WALLA, WA 993622846

    Phone: (509) 522-5802

    Fax: (509) 522-5541

    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: 2004-02-10

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
I20040210001025IEmergency MedicineWATBD

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
99285Emergency department visit with high level of medical decision making232225$0
99284Emergency department visit with moderate level of medical decision making171168$0
99283Emergency department visit with low level of medical decision making5857$0
View full utilization report →

Insurance plans in this area (ZIP 98124)

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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: 2860552973View full group profile
NameSpecialtyState
Emergency MedicineCO
Hospitalist, Internal MedicineUT
Nurse PractitionerWA
Internal Medicine, HospitalistID
N E U R O L O G YOR
Family PracticeWA
-WA
Physical Therapist In Private PracticeWA
Nurse PractitionerWA
Pulmonary Disease, Critical Care (Intensivists)WA

Reviews

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Frequently asked questions

What federal number belongs to DR. PHILIP A GREEN (MD)?
The federal identifier for DR. PHILIP A GREEN (MD) is NPI 1104867373.
Does this profile mean DR. PHILIP A GREEN (MD) is currently active?
Yes — DR. PHILIP A GREEN (MD) appears active in the national provider directory.
What field does DR. PHILIP A GREEN (MD) work in?
You can think of DR. PHILIP A GREEN (MD) as practicing within Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. PHILIP A GREEN (MD)?
The page summarizes Seattle, Washington for DR. PHILIP A GREEN (MD); expand the address list for detail.
Is DR. PHILIP A GREEN (MD) a real provider?
This page reflects official NPPES data for NPI 1104867373. Always confirm identity and privileges with the practice and licensing boards.

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