Individual Healthcare Provider
Jared Ross Green, M.D.
Provider's NPPES record last updated: April 7, 2022
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1053585604
- Primary Specialty
- Radiology — Diagnostic Radiology
- Practice Location
- Hollywood, Florida
- Sole Proprietor
- Yes
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 19, 2026, 2:34 PM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Radiology
Diagnostic Radiology
Allopathic & Osteopathic Physicians
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Taxonomy code 2085R0202X Radiology
Pediatric Radiology
Allopathic & Osteopathic Physicians
A radiologist who is proficient in all forms of diagnostic imaging as it pertains to the treatment of diseases in the newborn, infant, child and adolescent. This specialist has knowledge of both imaging and interventional procedures related to the care and management of diseases of children. A pediatric radiologist must be highly knowledgeable of all organ systems as they relate to growth and development, congenital malformations, diseases peculiar to infants and children and diseases that begin in childhood but cause substantial residual impairment in adulthood.
Taxonomy code 2085P0229X
Provider-Reported License Information
- Radiology (Illinois)
- 036.130117
- Radiology (Illinois)
- 036.130117
Practice Locations
Practice Location
1005 Joe Dimaggio Dr
Hollywood, Florida 33021-5402
Phone: (954) 265-5892
Additional Practice Location
3501 Johnson St
Hollywood, Florida 33021-5421
Phone: (954) 987-2000
Additional Practice Location
500 N Hiatus Rd Ste 200
Pembroke Pines, Florida 33026-5213
Phone: (954) 437-4800
Record Information
- Enumeration Date
- April 15, 2008
- Provider's NPPES Record Last Updated
- April 7, 2022
- Certification Date
- April 7, 2022
- NPISignal NPPES Dataset
- August 2026
See Something Wrong?
Incorrect provider information
Everything on this page comes directly from the NPPES data CMS publishes. NPISignal cannot edit a provider's record — only the provider or organization can, directly through NPPES.
Update a record through NPPESSomething wrong with this page?
If NPISignal is displaying this data incorrectly — a formatting error, a broken link, a mismatch with the source file — let us know.
Report a display issue