Individual provider Active NPI

Todd D Martin, MD

  • Obstetrics & Gynecology Physician
  • Lincoln, NE
National Provider Identifier
1003926957
Registry record updated Apr 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
22176 Issued in NE
Practice address
6050 Village Dr
Lincoln, NE 68516-4714
Phone
(402) 421-8581
Fax
(402) 421-8594
NPI assigned
Aug 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 22176 NE Primary

Addresses

Primary practice location

6050 Village Dr
Lincoln, NE 68516-4714

Mailing address

6050 Village Dr
Lincoln, NE 68516-4714
Phone (402) 421-8581

Other identifiers 2

IdentifierTypeStateIssuer
31725OtherNEBLUE CROSS BLUE SHIELD
470352176-13MedicaidNE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tmartin@gsodocs.directbygreenway.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110223000849 NE Practitioner - Obstetrics/Gynecology 3971628959 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Creighton University School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gynecologic Surgeons and Obstetricians, P.C.Group PAC ID 4880668805, 10 clinicians

Practice addresses (Care Compare)

6050 Village Dr
Lincoln, NE 68516-4714
Phone (402) 421-8581

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Gynecologic Surgeons & Obstetricians, P.C. Obstetrics & Gynecology CurrentSince Nov 1, 2020 Accepting new patients
Saint Elizabeth Regional Medical Center Past Accepting new patients
Bryan Medical Center Past Accepting new patients

Locations

6120 Village Dr
Lincoln, NE 68516
Phone (402) 420-2626

6050 Village Dr
Lincoln, NE 68516
Phone (402) 421-8581

Interoperability endpoints

  • Direct secure messaging: tmartin8224@hisp.bryanhealth.org
  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.73670
  • Direct secure messaging: tmartin@gsodocs.directbygreenway.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617753600000",
    "number": "1003926957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6050 VILLAGE DR",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685164714",
            "telephone_number": "402-421-8581",
            "fax_number": "402-421-8594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6050 VILLAGE DR",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685164714",
            "telephone_number": "402-421-8581",
            "fax_number": "402-421-8594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "TODD",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2021-04-07",
        "certification_date": "2021-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NE",
            "license": "22176",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "31725",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "470352176-13",
            "state": "NE"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tmartin@gsodocs.directbygreenway.com",
            "affiliation": "N",
            "endpointDescription": "direct messaging",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "6050 Village Dr",
            "city": "Lincoln",
            "state": "NE",
            "country_code": "US",
            "postal_code": "685164714",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.