Andy Green MD PA
NPI 1083647788 · Dermatology Physician · Miami, FL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Andy Green MD PA is a Dermatology Physician organization in Miami, FL (NPI 1083647788).
Provider details
- NPI number
- 1083647788
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Andy Green, President/Owner(305) 945-2877
- License
- ME86150 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-07-08
- Last updated
- 2007-09-17
Frequently asked questions
- What is Andy Green MD PA's NPI number?
- Andy Green MD PA's National Provider Identifier (NPI) is 1083647788, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Andy Green MD PA?
- Andy Green MD PA is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Andy Green MD PA located?
- Andy Green MD PA's practice location on file with NPPES is 1380 Ne Miami Gardens Dr, Miami, FL 33179-4721.
- What is Andy Green MD PA's phone number?
- The practice phone number listed in the NPPES registry for Andy Green MD PA is (305) 945-2877.
- Does Andy Green MD PA accept Medicare?
- Andy Green MD PA is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Andy Green MD PA?
- The authorized official listed on Andy Green MD PA's NPPES record is Andy Green, President/Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Andy Green MD PA's NPI active?
- Yes — Andy Green MD PA's NPI (1083647788) is active in the NPPES registry as of the last update on 2007-09-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.