Green Sports Medicine Inc
NPI 1396210563 · Sports Medicine (Family Medicine) Physician · Clovis, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Green Sports Medicine Inc is a Sports Medicine (Family Medicine) Physician organization in Clovis, CA (NPI 1396210563).
Provider details
- NPI number
- 1396210563
- Entity type
- Organization
- Primary specialty
- Sports Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Erick Green, MD(559) 813-3005
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Family Medicine Physician207Q00000X
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
7 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
- Green Sports Medicine, Inc.
- Doing business as
- Green Sports Medicine, Inc.
Registry dates
- Enumerated
- 2018-10-03
- Last updated
- 2019-11-18
Frequently asked questions
- What is Green Sports Medicine Inc's NPI number?
- Green Sports Medicine Inc's National Provider Identifier (NPI) is 1396210563, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Green Sports Medicine Inc?
- Green Sports Medicine Inc is classified in the NPPES registry as Sports Medicine (Family Medicine) Physician (Allopathic & Osteopathic Physicians).
- Where is Green Sports Medicine Inc located?
- Green Sports Medicine Inc's practice location on file with NPPES is 2021 Herndon Ave Ste 201, Clovis, CA 93611-6101.
- What is Green Sports Medicine Inc's phone number?
- The practice phone number listed in the NPPES registry for Green Sports Medicine Inc is (559) 981-5566.
- Does Green Sports Medicine Inc accept Medicare?
- Green Sports Medicine Inc 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 Green Sports Medicine Inc?
- The authorized official listed on Green Sports Medicine Inc's NPPES record is Erick Green, MD. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Green Sports Medicine Inc's NPI active?
- Yes — Green Sports Medicine Inc's NPI (1396210563) is active in the NPPES registry as of the last update on 2019-11-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.