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

Dr. Charles Patrick Green, MD

Individual provider Cardiovascular Disease Physician · NPI 1982600458

Dr. Charles Patrick Green, MD is a Cardiovascular Disease (Cardiology) in Fort Collins, Colorado. Graduated from University of Kansas School of Med (KC/WICH/SAL) in 1993, 33 years ago. Practices with Poudre Valley Medical Group LLC, a 2,416-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Colorado, Nebraska and Wyoming.

Years since qualifying
33
Trained at
University of Kansas School of Med (KC/WICH/SAL)
Licensed in
CO, NE, WY
In the registry since
2005
Specialties on file
4
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

2121 E Harmony Rd Unit 100
Fort Collins, CO 80528-3401
Phone: (970) 221-1000
Fax: (970) 297-6860
Show map & directions

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

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X · Licence 37999 (CO)
Cardiovascular Disease Physician Taxonomy 207RC0000X · Licence 21397 (NE)
Cardiovascular Disease Physician Taxonomy 207RC0000X · Licence 6263A (WY)
Nuclear Cardiology Physician Taxonomy 207UN0901X · Licence 37999 (CO)

Record details

NPI number1982600458
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 21, 2005
Last updated in NPPESMarch 22, 2016
Mailing address2121 E Harmony Rd, Suite 100, Fort Collins, CO 80528-3400

Medicare enrollment

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

Medicare specialtyCARDIOVASCULAR DISEASE (CARDIOLOGY)
Also practisesNUCLEAR MEDICINE
Medical schoolUNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Graduated 1993 (33 years in practice)
Group practice Poudre Valley Medical Group Llc — 2416 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations24 on file with Medicare

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