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

Dr. Charles Patrick Green, MD

Individual provider Cardiovascular Disease Physician · NPI 1982600458

Dr. Charles Patrick Green, MD is a Cardiovascular Disease (Cardiology) in Fort Collins, Colorado. Graduated from University of Kansas School of Med (KC/WICH/SAL) in 1993, 33 years ago. Practices with Poudre Valley Medical Group LLC, a 2,416-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Colorado, Nebraska and Wyoming.

Years since qualifying
33
Trained at
University of Kansas School of Med (KC/WICH/SAL)
Licensed in
CO, NE, WY
In the registry since
2005
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2121 E Harmony Rd Unit 100
Fort Collins, CO 80528-3401
Phone: (970) 221-1000
Fax: (970) 297-6860
Show map & directions

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

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X · Licence 37999 (CO)
Cardiovascular Disease Physician Taxonomy 207RC0000X · Licence 21397 (NE)
Cardiovascular Disease Physician Taxonomy 207RC0000X · Licence 6263A (WY)
Nuclear Cardiology Physician Taxonomy 207UN0901X · Licence 37999 (CO)

Record details

NPI number1982600458
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 21, 2005
Last updated in NPPESMarch 22, 2016

Medicare enrollment

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

Medicare specialtyCARDIOVASCULAR DISEASE (CARDIOLOGY)
Also practisesNUCLEAR MEDICINE
Medical schoolUNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Graduated 1993 (33 years in practice)
Group practice Poudre Valley Medical Group Llc — 2416 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations24 on file with Medicare

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