Kenneth Green, M.D.
Kenneth Green, M.D. is a Nephrology Physician in Syracuse, NY, registered under NPI 1114909512.
Getting there
The practice address on file is 1304 BUCKLEY RD, Syracuse, NY 13212. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 130245 | NY | Nephrology Physician primary |
This provider holds licence 130245 issued in NY. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.
What Nephrology covers
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. NUCC Health Care Provider Taxonomy, code 207RN0300X
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1114909512 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Nov 19, 2005 |
| Last updated | Feb 14, 2008 |
| Status | Active |
| Sole proprietor | No |
| Credential | M.D. |
| Practice address |
1304 BUCKLEY RD Syracuse, NY 13212 (315) 478-3311 Fax (315) 426-0796 |
| Mailing address |
1304 BUCKLEY ROAD Syracuse, NY 13212 |
| Other identifiers |
10119425
· CDPHP (NY) 000914917001 · HEALTHNOW (NY) 3300208 · GHI (NY) 00914917001 · HEALTHNOW (NY) 100029112801 · UNITED HEALTHCARE (NY) 719956 · MVP (NY) 00581475 (NY) 03260 · EXCELLUS (NY) 00040696502 · UNIVERA SENIOR CHOICE (NY) 4535679 · AETNA (NY) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 1 | 1 | 4 | 9 | 0 | 9 | 5 | 1 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 1 | 2 | 4 | 9 | 0 | 9 | 5 | 2 |
Sum = 58 · next multiple of 10 = 60 · check digit = 2 · actual last digit = 2
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.