JENNIFER COSSUTO GREEN (MD) – Child Abuse Pediatrics Physician, NPI 1144648353
Child Abuse Pediatrics Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for JENNIFER COSSUTO GREEN (MD)
234 E GRAY ST STE 334
LOUISVILLE, KY 402021902
Phone: (502) 629-3099
Type: Location
234 E Gray St Ste 334
Louisville, KY 402021902
Phone: (502) 629-3099
Type: Location
3913 W Platt St
Tampa, FL 336093942
Phone: (813) 629-1008
Type: Location
740 S LIMESTONE STE K201
LEXINGTON, KY 405361902
Phone: (859) 218-2509
Fax: (859) 218-2509
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: 2020-10-30
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20200911000840 | I | Pediatric Medicine | KY | TBD |
| I20201030000266 | I | Pediatric Medicine | IN | 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 40202)
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