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

Dr. Jacob T Green, MD

Individual provider Internal Medicine Physician · NPI 1932384773

Dr. Jacob T Green, MD is an Interventional Cardiology in Mesa, Arizona. Graduated from University of Arizona College of Medicine in 2002, 24 years ago. Practices with Tri-City Cardiology Consultants PC, a 41-clinician group and accepts Medicare assignment. Licensed in Arizona and Georgia.

Years since qualifying
24
Trained at
University of Arizona College of Medicine
Licensed in
AZ, GA
In the registry since
2007
Specialties on file
3
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

6750 E Baywood Ave 301
Mesa, AZ 85206-1749
Phone: (480) 835-6100
Fax: (480) 505-5295
Show map & directions

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

Specialties & licences

Interventional Cardiology Physician (primary) Taxonomy 207RI0011X · Licence 41389 (AZ)
Internal Medicine Physician Taxonomy 207R00000X · Licence 054383 (GA)
Cardiovascular Disease Physician Taxonomy 207RC0000X · Licence 41389 (AZ)

Record details

NPI number1932384773
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedDecember 28, 2007
Last updated in NPPESJune 8, 2016

Medicare enrollment

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

Medicare specialtyINTERVENTIONAL CARDIOLOGY
Also practisesCARDIOVASCULAR DISEASE (CARDIOLOGY)
Medical schoolUNIVERSITY OF ARIZONA COLLEGE OF MEDICINE
Graduated 2002 (24 years in practice)
Group practice Tri-City Cardiology Consultants Pc — 41 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations9 on file with Medicare

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