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

Kevin Dwight Green, MD

Individual provider Gastroenterology Physician · NPI 1811900194

Kevin Dwight Green, MD is a Gastroenterology in Tyler, Texas. Graduated from University of the South Medical Department in 1983, 43 years ago. Practices with Christus Trinity Clinic, a 1,531-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
43
Trained at
University of the South Medical Department
Licensed in
TX
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 →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1720 S Beckham Ave
Tyler, TX 75701
Phone: (903) 595-5101
Fax: (903) 597-2314
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X · Licence G5113 (TX)

Record details

NPI number1811900194
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 15, 2006
Last updated in NPPESJanuary 10, 2017

Medicare enrollment

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

Medicare specialtyGASTROENTEROLOGY
Medical schoolUNIVERSITY OF THE SOUTH MEDICAL DEPARTMENT
Graduated 1983 (43 years in practice)
Group practice Christus Trinity Clinic — 1531 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

Other providers in Tyler