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

Andrew Green

Individual provider Anesthesiology Physician · NPI 1063943132

Andrew Green is an Anesthesiology in Portsmouth, Virginia. Qualified in 2017, 9 years ago. Practices with Northstar Anesthesia of Virginia, LLC, a 409-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
9
Licensed in
VA
In the registry since
2017

Practice location Address checks out

3636 High St
Portsmouth, VA 23707-3236
Phone: (757) 398-2200
Show map & directions

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

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 0101272008 (VA)

Record details

NPI number1063943132
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 21, 2017
Last updated in NPPESDecember 12, 2023
Certification dateDecember 12, 2023
Mailing address800 Crawford St Apt 101, Portsmouth, VA 23704-2334

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Northstar Anesthesia Of Virginia, Llc — 409 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Portsmouth