Doctor profile · Federal record
Dr. Randall Green, MD
Specialist · Grand Rapids, MI
- NPI 1467400333
- 20 yrs on file
- Male
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
4070 Lake Dr Se
Grand Rapids, MI 495468294
(616) 774-8200
fax (616) 774-0304
Credentials & registration
- NPI registered
- May 2006 — 20 yrs on file
- Profile last updated
- March 7, 2023
- Specialty taxonomy
- 174400000X — NUCC code
- State license (1)
- Michigan #RG030071
- Medicaid
- MI #1073594
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1467400333. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$79
Transactions
4
Manufacturers
2
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Novartis Pharmaceuticals Corporation | 3 | $43.37 | |
| Abiomed | 1 | $35.99 |
By nature of payment
Frequently asked questions
What is Dr. Randall Green's medical specialty?
Dr. Randall Green practices Specialist in Grand Rapids, MI.
Where does Dr. Randall Green practice?
Dr. Randall Green practices at 4070 Lake Dr Se, Grand Rapids, MI 495468294. Office phone: 6167748200.
What is Dr. Randall Green's NPI?
Dr. Randall Green's National Provider Identifier (NPI) is 1467400333, issued by NPPES.