The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Specialties & License Numbers Reported to NPPES

Non-emergency Medical Transport (VAN) Primary Specialty

NUCC Taxonomy Code: 343900000X

License # reported to NPPES FL G650252847490

A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Florida Department of Health Medical Quality Assurance.

Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events

📍

Updated Practice Location September 23, 2019

Registered at 5967 NW 21ST ST, LAUDERHILL, FL 333137604 (Tel: 3059243333)

📍

Updated Business Mailing Address September 23, 2019

Registered at 5967 NW 21ST ST, LAUDERHILL, FL 333137604 (Tel: 3059243333)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 23, 2019

Non-emergency Medical Transport (VAN) (license number reported to NPPES: FL G650252847490)

✅

NPI Profile Active December 18, 2018

NPI status registered as active in NPPES database

📍

Practice Location (Initial Record) December 18, 2018

Registered at 13803 SW 110TH AVE, MIAMI, FL 331766435 (Tel: 3059246333)

📍

Business Mailing Address (Initial Record) December 18, 2018

Registered at 13803 SW 110TH AVE, MIAMI, FL 331766435 (Tel: 3059246333)

👤

Provider Name / Credentials (Initial Record) December 18, 2018

Recorded as FALLON GREEN

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 18, 2018

Private Vehicle (license number reported to NPPES: FL G650252847490)

🟢

Initial NPI Registration & Enumeration December 18, 2018

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1558833376

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: December 18, 2018

Last Update: September 23, 2019

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

5967 Nw 21st St

Lauderhill, FL 333137604

Phone: 3059243333

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.