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

Dr. Jared Ross Green, MD

Individual provider Pediatric Radiology Physician · NPI 1053585604

Dr. Jared Ross Green, MD is a Diagnostic Radiology in Hollywood, Florida. Graduated from University of Miami, Lm Miller School of Medicine in 2007, 19 years ago. Practices with Mori Bean and Brooks Inc, a 976-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
19
Trained at
University of Miami, Lm Miller School of Medicine
Licensed in
IL
In the registry since
2008
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

1005 Joe Dimaggio Dr
Hollywood, FL 33021-5402
Phone: (954) 265-5892
Show map & directions

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

Additional practice locations (2)

  • 3501 Johnson St, Hollywood, FL 33021-5421 — (954) 987-2000
  • 500 N Hiatus Rd Ste 200, Pembroke Pines, FL 33026-5213 — (954) 437-4800

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 036.130117 (IL)
Pediatric Radiology Physician Taxonomy 2085P0229X · Licence 036.130117 (IL)

Record details

NPI number1053585604
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 15, 2008
Last updated in NPPESApril 7, 2022
Certification dateApril 7, 2022
Mailing address500 N Hiatus Rd Ste 200, Pembroke Pines, FL 33026-5213

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolUNIVERSITY OF MIAMI, LM MILLER SCHOOL OF MEDICINE
Graduated 2007 (19 years in practice)
Group practice Mori Bean And Brooks Inc — 976 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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