NPI Portal NPI Lookup & Verification

Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum Sole proprietor

Dr. Randall William Green, MD

Specialist in Grand Rapids, MI · enumerated 2006.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1467400333

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Registry record

Entity type Individual (Type 1)
Name Dr. Randall William Green
Credential MD
Sex Male
Practice address Grand Rapids, MI, 49546
Fax (616) 774-0304
Enumeration date May 4, 2006
Last updated in NPPES Mar 7, 2023

Street address withheld: NPPES sole-proprietor addresses can be home addresses. See our data policy.

Taxonomy & licenses

174400000X Specialist Other Service Providers · License RG030071 (MI) Primary
MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier Type State Issuer
110158828 Other MI RAILROAD MEDICARE
RG030071 Other MI STATE LICENSE NUMBER
1104110132 Other MI BLUE CROSS BLUE SHIELD
1073594 Medicaid MI -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where does Randall Green practice?
The practice location on file with NPPES is in Grand Rapids, MI. Providers can have multiple locations; NPPES lists the primary practice address.
What is the NPI number for Randall Green?
The National Provider Identifier (NPI) for Randall Green is 1467400333, a Type 1 (individual) record in the CMS NPPES registry.

Other providers at this practice address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-03-07.