Kerry S Green MD PLC
NPI 1356523492 · Clinic/Center · Mesa, AZ
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kerry S Green MD PLC is a Clinic/Center organization in Mesa, AZ (NPI 1356523492).
Provider details
- NPI number
- 1356523492
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Kerry Green, Owner(480) 924-4422
- License
- 29662 (AZ)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
Other names (DBA / former)
- Doing business as
- Skyline Medicine
Registry dates
- Enumerated
- 2007-11-30
- Last updated
- 2012-03-08
Frequently asked questions
- What is Kerry S Green MD PLC's NPI number?
- Kerry S Green MD PLC's National Provider Identifier (NPI) is 1356523492, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Kerry S Green MD PLC?
- Kerry S Green MD PLC is classified in the NPPES registry as Clinic/Center (Ambulatory Health Care Facilities).
- Where is Kerry S Green MD PLC located?
- Kerry S Green MD PLC's practice location on file with NPPES is 6112 E Brown Rd, Mesa, AZ 85205-4955.
- What is Kerry S Green MD PLC's phone number?
- The practice phone number listed in the NPPES registry for Kerry S Green MD PLC is (480) 924-4422.
- Does Kerry S Green MD PLC accept Medicare?
- Kerry S Green MD PLC 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 Kerry S Green MD PLC?
- The authorized official listed on Kerry S Green MD PLC's NPPES record is Kerry Green, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Kerry S Green MD PLC's NPI active?
- Yes — Kerry S Green MD PLC's NPI (1356523492) is active in the NPPES registry as of the last update on 2012-03-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.