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

Justin Green

Individual provider Surgery Physician · NPI 1114966462

Justin Green is a General Surgery in Los Alamos, New Mexico. Graduated from University of Kansas School of Med (KC/WICH/SAL) in 1994, 32 years ago. Practices with Medical Associates of Northern New Mexico, a 14-clinician group, accepts Medicare assignment and offers telehealth. Licensed in South Dakota.

Years since qualifying
32
Trained at
University of Kansas School of Med (KC/WICH/SAL)
Licensed in
SD
In the registry since
2006

Practice location Address checks out

3917 W Rd Ste A
Los Alamos, NM 87544-2292
Phone: (505) 661-8900
Show map & directions

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

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 4568 (SD)

Record details

NPI number1114966462
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 5, 2006
Last updated in NPPESSeptember 27, 2024
Certification dateSeptember 27, 2024
Mailing address3917 West Rd, Los Alamos, NM 87544-2275

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolUNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Graduated 1994 (32 years in practice)
Group practice Medical Associates Of Northern New Mexico — 14 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Los Alamos