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Diana M. Green, DO

NPI 1639865207ActiveIndividual· Pediatrics· Boise, ID

Pediatrics (DO) in Boise, Idaho, licensed in ID, with an NPI issued in April 2023. Enrolled in Medicare as practitioner - pediatric medicine. Corium, LLC was the largest of 2 companies reporting payments in 2024, $29.12 in all, mostly food and beverage.

Overview

NPI1639865207
StatusActive
Entity typeIndividual
CredentialDO
Sole proprietorNo
NPI issuedApr 17, 2023
Last updated in NPPESSep 2, 2026
Certified by providerSep 2, 2026

Specialties and licenses

TaxonomyCodeLicenseState
Pediatrics Primary208000000X2271350ID

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Pediatric Medicine (ID)

Medicare sources and data years

Education and affiliations

Graduation year2023
Medicare specialtyPediatric Medicine

Source: CMS Care Compare

Industry payments (Open Payments)

  • 2024$29.12 · 2 payments from 2 companies

Top paying companies in 2024

CompanyAmountPayments
Corium, LLC$15.331
Pfizer Inc.$13.791

What the 2024 payments were for

  • Food and Beverage$29.12 · 2 payments

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other Pediatrics providers in Boise

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