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

David A Greene, MD

Individual provider Internal Medicine Physician · NPI 1104802594

David A Greene, MD is a Geriatric Medicine in Santa Rosa, California. Graduated from Michigan State University College of Human Medicine in 1978, 48 years ago. Works from 2 locations and accepts Medicare assignment. Licensed in California and Kentucky.

Years since qualifying
48
Trained at
Michigan State University College of Human Medicine
Licensed in
CA, KY
In the registry since
2005
Specialties on file
2
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

5555 Montgomery Dr
Santa Rosa, CA 95409-8846
Phone: (707) 579-6957
Fax: (707) 579-6979
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3536 Mendocino Ave Ste 300, Santa Rosa, CA 95403-3634 — (707) 579-6957

Specialties & licences

Geriatric Medicine (Internal Medicine) Physician (primary) Taxonomy 207RG0300X · Licence C148038 (CA)
Internal Medicine Physician Taxonomy 207R00000X · Licence 20639 (KY)

Record details

NPI number1104802594
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedDecember 19, 2005
Last updated in NPPESJune 22, 2021
Certification dateJune 22, 2021

Medicare enrollment

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

Medicare specialtyGERIATRIC MEDICINE
Also practisesINTERNAL MEDICINE
Medical schoolMICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
Graduated 1978 (48 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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