Kevin Joseph Green, P.A
NPI 1053521302ActiveIndividual· Physician Assistant· Johnstown, PA
Physician Assistant (P.A) in Johnstown, Pennsylvania, licensed in PA, with an NPI issued in May 2007. Enrolled in Medicare as practitioner - physician assistant. A record with the same name and state is on the OIG exclusion list; it carries no NPI, so check it before acting.
Overview
| NPI | 1053521302 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | P.A |
| Sole proprietor | No |
| NPI issued | May 23, 2007 |
| Last updated in NPPES | Apr 25, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | MA002387-L | PA |
Exclusion screening
Possible match: verify before acting. The OIG list has a record with the same name in Pennsylvania, but that record carries no NPI, so it may be a different person or business.
| Matched by | Name on OIG list | Exclusion type | Excluded since | Location |
|---|---|---|---|---|
| Name + state | Kevin L. Green · Chiropractic | 1128b14 | May 20, 2001 | Philadelphia, PA |
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | Possible (name) | See above |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | Possible (name) | Terminated · since May 20, 2001 · PA |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (PA) |
|---|
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 72 physician assistants in Johnstown · All physician assistants in Pennsylvania