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

Dr. Michael Lewis Green Jr., MD

Individual provider Surgery Physician · NPI 1134165566

Dr. Michael Lewis Green Jr., MD is a General Surgery in Fort Worth, Texas. Graduated from Indiana University School of Medicine in 1996, 30 years ago. Practices with Dallas Medical Specialists, PLLC, a 85-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
30
Trained at
Indiana University School of Medicine
Licensed in
TX
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

900 Jerome St Ste 204
Fort Worth, TX 76104-3945
Phone: (817) 720-9552
Fax: (817) 921-1830
Show map & directions

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

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence L7736 (TX)

Record details

NPI number1134165566
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 22, 2006
Last updated in NPPESJanuary 28, 2022

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolINDIANA UNIVERSITY SCHOOL OF MEDICINE
Graduated 1996 (30 years in practice)
Group practice Dallas Medical Specialists, Pllc — 85 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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