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

Charles R Green, MD

Individual provider Family Medicine Physician · NPI 1568499267

Charles R Green, MD is a Family Practice in Andover, Kansas. Graduated from University of Kansas School of Med (KC/WICH/SAL) in 2002, 24 years ago. Practices with Ascension Medical Group via Christi PA, a 183-clinician group and accepts Medicare assignment. Licensed in Kansas.

Years since qualifying
24
Trained at
University of Kansas School of Med (KC/WICH/SAL)
Licensed in
KS
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

612 N Andover Rd
Andover, KS 67002-9778
Phone: (316) 733-6618
Fax: (316) 733-5299
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 30255 (KS)

Record details

NPI number1568499267
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 27, 2006
Last updated in NPPESMarch 31, 2016

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Graduated 2002 (24 years in practice)
Group practice Ascension Medical Group Via Christi Pa — 183 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Andover