Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Alise Green

Individual provider Family Medicine Physician · NPI 1629457221

Alise Green is a Family Practice in Indianapolis, Indiana. Qualified in 2015, 11 years ago. Practices with Community Physicians of Indiana Inc, a 1,577-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
11
Licensed in
IN
In the registry since
2015
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1402 E County Line Rd
Indianapolis, IN 46227-0963
Phone: (317) 887-7000
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 01080421A (IN)

Record details

NPI number1629457221
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 28, 2015
Last updated in NPPESSeptember 24, 2021
Certification dateSeptember 24, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Community Physicians Of Indiana Inc — 1577 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Indianapolis