Ottavia Green, MD
NPI 1336701861 · Anesthesiology Physician · Park Ridge, IL
Enrolled with Medicare as Practitioner - Anesthesiology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ottavia Green, MD is a Anesthesiology Physician provider in Park Ridge, IL (NPI 1336701861).
Provider details
- NPI number
- 1336701861
- Entity type
- Individual
- Primary specialty
- Anesthesiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 2019022382 (MO)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Additional practice locations (1)
- 1 Barnes Jewish Hospital PlzSaint Louis, MO 63110-1003Phone: (314) 362-1935
Registry dates
- Enumerated
- 2019-07-04
- Last updated
- 2025-02-05
- Certified
- 2025-02-05
Frequently asked questions
- What is Ottavia Green's NPI number?
- Ottavia Green's National Provider Identifier (NPI) is 1336701861, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ottavia Green's specialty?
- Ottavia Green is listed in the NPPES registry with a primary specialty of Anesthesiology Physician (Allopathic & Osteopathic Physicians).
- Where is Ottavia Green located?
- Ottavia Green's practice location on file with NPPES is 1775 Dempster St, Park Ridge, IL 60068-1143.
- What is Ottavia Green's phone number?
- The practice phone number listed in the NPPES registry for Ottavia Green is (847) 723-2210.
- Does Ottavia Green accept Medicare?
- Ottavia Green is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Ottavia Green's NPI active?
- Yes — Ottavia Green's NPI (1336701861) is active in the NPPES registry as of the last update on 2025-02-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.