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

Ivan R Green, MD

Individual provider Diagnostic Radiology Physician · NPI 1215989199

Ivan R Green, MD is a Diagnostic Radiology Physician in Worcester, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2006.

Licensed in
MA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

135 Gold Star Blvd
Worcester, MA 01606
Phone: (508) 853-2716
Fax: (508) 856-9025
Show map & directions

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

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 36946 (MA)

Record details

NPI number1215989199
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 17, 2006
Last updated in NPPESFebruary 13, 2009
Mailing address630 Plantation St, Worcester, MA 01605-2038

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