OTTAVIA KIMBERLY GREEN MD
NPI 1336701861
Anesthesiology in Park Ridge, IL
NPI Status: Active since July 04, 2019
Contact Information
1775 DEMPSTER ST
PARK RIDGE, IL
ZIP 60068
Phone: (847) 723-2210
- Individual
- Female
- Anesthesiology
- Accepts Insurance
- PECOS Enrolled
About OTTAVIA GREEN
This page provides the complete NPI Profile along with additional information for Ottavia Green, an anesthesiologist established in Park Ridge, Illinois with a medical specialization in Anesthesiology. The healthcare provider is registered in the NPI registry with number 1336701861 assigned on July 2019. The practitioner's primary taxonomy code is 207L00000X with license number 036-170213 (IL). The provider is registered as an individual and her NPI record was last updated February 2025.
- NPI
- 1336701861
- Provider Name
- OTTAVIA KIMBERLY GREEN MD
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1775 DEMPSTER ST PARK RIDGE, IL 60068
- Location Phone
- (847) 723-2210
- Mailing Address
- 29373 NETWORK PL CHICAGO, IL 60673
- Is Sole Proprietor?
- No
- Enumeration Date
- 07-04-2019
- Last Update Date
- 02-05-2025
- Code Navigator
An anesthesiologist like Ottavia Green manages the care of surgical patients and pain relief through drug administration that reduces or eliminates pain during an operation, medical procedure or during labor and delivery of babies. During surgical procedures anesthesiologists are responsible for adjusting the amount of anesthetic, monitoring the patient's heart rate, body temperature, blood pressure and breathing.
Location Map
Secondary Locations
- 1 Barnes Jewish Hospital Plz
Saint Louis, MO 63110
(314) 362-1935
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Anesthesiology
- Taxonomy Code
- 207L00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 036-170213
- License State
- IL
- Taxonomy Description
- An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207L00000X | Allopathic & Osteopathic Physicians | Anesthesiology | 2019022382 (MO) |
| 2 | 207L00000X | Allopathic & Osteopathic Physicians | Anesthesiology | V0407 (TX) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Advantage Bronze HMO? 204 - HMO
- Blue Advantage Bronze HMO? 301 - HMO
- Blue Advantage Bronze HMO? Standard - HMO
- Blue Advantage Gold HMO? 206 - HMO
- Blue Advantage Gold HMO? 603 - HMO
- Blue Advantage Gold HMO? Standard - HMO
- Blue Advantage Plus Bronze? 303 - POS
- Blue Advantage Plus Bronze? 305 - POS
- Blue Advantage Plus Bronze? Standard - POS
- Blue Advantage Plus Gold? 203 - POS
- Blue Advantage Plus Gold? 803 - POS
- Blue Advantage Plus Gold? Standard - POS
- Blue Advantage Plus Silver? 202 - POS
- Blue Advantage Plus Silver? 605 - POS
- Blue Advantage Plus Silver? Standard - POS
- Blue Advantage Security HMO? 200 - HMO
- Blue Advantage Silver HMO? 205 - HMO
- Blue Advantage Silver HMO? 801 - HMO
- Blue Advantage Silver HMO? Standard - HMO
- Bronze Classic 4700 - EPO
- Bronze Classic Standard - EPO
- Bronze Elite + PCP Saver Plus - EPO
- Gold Classic - EPO
- Gold Classic Standard - EPO
- Gold Elite - EPO
- Silver Classic - EPO
- Silver Classic Standard - EPO
- Silver Simple PCP Saver - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Ottavia Green is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Reviews for OTTAVIA KIMBERLY GREEN MD
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 3 | 3 | 6 | 7 | 0 | 1 | 8 | 6 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 6 | 6 | 14 | 0 | 2 | 8 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 6 + 6 + 1 + 4 + 0 + 2 + 8 + 1 + 2 + 24 = 59 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 59 = 1 | 1 | ||||||||
The NPI number 1336701861 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1144212671 | SHILPA P. MEHTA M.D. Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 1775 DEMPSTER ST LUTHERAN GENERAL HOSPITAL / PATHOLOGY DEPARTMENT PARK RIDGE, IL 60068 (847) 723-2210 |
| 1316939846 | TARIQ M. MURAD M.D. Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 1775 DEMPSTER ST LUTHERAN GENERAL HOSPITAL / PATHOLOGY DEPARTMENT PARK RIDGE, IL 60068 (847) 723-2210 |
| 1811989387 | ANDREA M. BLUMSTEIN M.D. Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 1775 DEMPSTER ST LUTHERAN GENERAL HOSPITAL / PATHOLOGY DEPARTMENT PARK RIDGE, IL 60068 (847) 723-2210 |
| 1336131895 | RAJA M. BAHU M.D. Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 1775 DEMPSTER ST LUTHERAN GENERAL HOSPITAL / PATHOLOGY DEPARTMENT PARK RIDGE, IL 60068 (847) 723-2210 |
| 1366434847 | SANOBAR KHAN M.D. Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 1775 DEMPSTER ST LUTHERAN GENERAL HOSPITAL / PATHOLOGY DEPARTMENT PARK RIDGE, IL 60068 (847) 723-2210 |
| 1962494443 | GARY L. KIRSHENBAUM M.D. Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 1775 DEMPSTER ST LUTHERAN GENERAL HOSPITAL / PATHOLOGY DEPARTMENT PARK RIDGE, IL 60068 (847) 723-2210 |
| 1013909563 | SHANTHA S. SREEKANTH M.D. Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 1775 DEMPSTER ST LUTHERAN GENERAL HOSPITAL / PATHOLOGY DEPARTMENT PARK RIDGE, IL 60068 (847) 723-2210 |
| 1497747950 | ESTELA D. BLEI M.D. Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 1775 DEMPSTER ST LUTHERAN GENERAL HOSPITAL / PATHOLOGY DEPARTMENT PARK RIDGE, IL 60068 (847) 723-2210 |
| 1982696456 | CHERYL S. BRAUN M.D. Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 1775 DEMPSTER ST LUTHERAN GENERAL HOSPITAL / PATHOLOGY DEPARTMENT PARK RIDGE, IL 60068 (847) 723-2210 |
| 1245222710 | MICHELE BONIN M.D. Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 1775 DEMPSTER ST LUTHERAN GENERAL HOSPITAL / PATHOLOGY DEPARTMENT PARK RIDGE, IL 60068 (847) 723-2210 |
| 1013909597 | WILLIAM D. DWYER M.D. Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 1775 DEMPSTER ST LUTHERAN GENERAL HOSPITAL / PATHOLOGY DEPARTMENT PARK RIDGE, IL 60068 (847) 723-2210 |
| 1568454072 | THOMAS L. MCCAFFREY M.D. Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 1775 DEMPSTER ST LUTHERAN GENERAL HOSPITAL / PATHOLOGY DEPARTMENT PARK RIDGE, IL 60068 (847) 723-2210 |
| 1952393498 | JAYARAMA SHETTY M.D. Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 1775 DEMPSTER ST DELUTHERAN GENERAL HOSPITAL / PATHOLOGY DEPARTMENT PARK RIDGE, IL 60068 (847) 723-2210 |
| 1275525727 | YOLANDA P. TRUJILLO M.D. Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 1775 DEMPSTER ST LUTHERAN GENERAL HOSPITAL / PATHOLOGY DEPARTMENT PARK RIDGE, IL 60068 (847) 723-2210 |
| 1265424717 | JAMI L. WALLOCH M.D. Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 1775 DEMPSTER ST LUTHERAN GENERAL HOSPITAL / PATHOLOGY DEPARTMENT PARK RIDGE, IL 60068 (847) 723-2210 |
| 1326030875 | VINUBHAI J. PATEL M.D. Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 1775 DEMPSTER ST LUTHERAN GENERAL HOSPITAL / PATHOLOGY DEPARTMENT PARK RIDGE, IL 60068 (847) 723-2210 |
| 1235111378 | MAHIN ZIAI M.D. Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 1775 DEMPSTER ST LUTHERAN GENERAL HOSPITAL PARK RIDGE, IL 60068 (847) 723-2210 |
| 1245206655 | DR. ANDREY LEV-WEISSBERG MD Individual | Internal Medicine | 1775 DEMPSTER ST PARK RIDGE, IL 60068 (847) 675-5834 |
| 1538128301 | DR. SURESH HAVALAD M.D. Individual | Pediatrics (Pediatric Critical Care Medicine) | 1775 DEMPSTER ST PARK RIDGE, IL 60068 (847) 723-5586 |
| 1982643730 | DR. MARNY LEE FETZER M.D. Individual | Emergency Medicine | 1775 DEMPSTER ST PARK RIDGE, IL 60068 (847) 723-5099 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1336701861, enumerated in the NPI registry as an "individual" on July 04, 2019
The provider is located at 1775 Dempster St Park Ridge, Il 60068 and the phone number is (847) 723-2210
The provider's speciality is Anesthesiology with taxonomy code 207L00000X
The provider might be accepting Accepts: Blue Cross and Blue Shield of Texas and Oscar. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
This NPI record was last updated on July 04, 2019. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.