Doctor profile · Federal record
Dr. Kenyon Green, CRNA
Certified Registered Nurse Anesthetist (CMS: Certified Registered Nurse Anesthetist (CRNA)) · Certified Registered Nurse Anesthetist · Dallas, TX
- NPI 1093942336
- Accepts Medicare
- MIPS 93.5 / 100 · 2023
- 18 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
6606 Lbj Fwy Ste 200
Dallas, TX 75240
(972) 715-5000 - Mailing address
-
Po Box 840853
Dallas, TX 752840853
Credentials & registration
- NPI registered
- June 2009 — 17 yrs on file
- Profile last updated
- June 15, 2018
- Year of graduation
- 2008 — 18 yrs since
- Specialty taxonomy
- 367500000X — NUCC code
- State licenses (2)
- Texas #707950 · Texas #081116
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1093942336. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$30
Transactions
2
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Merck Sharp & Dohme LLC | 2 | $30.39 |
By nature of payment
Frequently asked questions
What is Dr. Kenyon Green's medical specialty?
Dr. Kenyon Green practices Certified Registered Nurse Anesthetist in Dallas, TX.
Where does Dr. Kenyon Green practice?
Dr. Kenyon Green practices at 6606 Lbj Fwy Ste 200, Dallas, TX 75240. Office phone: 9727155000.
What is Dr. Kenyon Green's NPI?
Dr. Kenyon Green's National Provider Identifier (NPI) is 1093942336, issued by NPPES.
Does Dr. Kenyon Green accept Medicare assignment?
Yes. Dr. Kenyon Green accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.