Active NPI
Niels Douglas Martin, MD
- Trauma Surgery Physician
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Trauma Surgery Physician
- License
- MD420992
- Practice address
- 51 N 39TH St
Philadelphia, PA 19104-2640 - Phone
- (215) 349-8310
- Fax
- (215) 724-3560
- NPI assigned
- Dec 29, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Critical Care Physician | 2086S0102X | MD420992 | PA | |
| Surgery Physician | 208600000X | MD420992 | PA | |
| Trauma Surgery Physician | 2086S0127X | MD420992 | PA | Primary |
Addresses
Primary practice location
51 N 39TH St
Philadelphia, PA 19104-2640
Mailing address
51 N 39TH St
Philadelphia, PA 19104-2640
Phone (215) 349-8310
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0125024 | Medicaid | NJ | |
| 1018343780005 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Critical Care (Intensivists)
- Education
- Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3400 Spruce St
Philadelphia, PA 19104-4238
Phone (215) 349-8310
Hospital & facility affiliations
- Penn Presbyterian Medical Center
- Hospital of Univ of Pennsylvania
- Chester County Hospital
- Pennsylvania Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 33 |
| Colonoscopy | 1-10 |
| Hernia repair - groin (open) | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Penn-Medical Group | Current | Accepting new patients | |
| University of Penn-Medical Group | Current | Accepting new patients | |
| Jefferson University Physicians | Surgery | Current | Accepting new patients |
| University of Penn-Medical Group | Current | Accepting new patients | |
| Trustees of the University of Pennsylvania | Past | Accepting new patients | |
| Presbyterian Medical Center of the University of Pennsylvania Health S | Past | Accepting new patients | |
| University of Penn - Medical Group | Past | Accepting new patients |
Locations
830 Old Lancaster Rd
Ste 108
Bryn Mawr, PA 19010
Phone (610) 520-5200
3400 Spruce St
#818
Philadelphia, PA 19104
3400 Spruce St
Fl 2
Philadelphia, PA 19104
Phone (215) 662-2428
925 Chestnut St
Fl 6
Philadelphia, PA 19107
Phone (215) 955-6760
3737 Market St
Fl 4
Philadelphia, PA 19104
Phone (215) 662-8664
501 S 54th St
Philadelphia, PA 19143
Phone (215) 581-2046
3624 Market St
Fl 2
Philadelphia, PA 19104
Phone (215) 615-3669
800 Walnut St
Fl 20
William Penn Annex West, PA 19107
Phone (215) 829-2092
800 Spruce St
William Penn Annex West, PA 19107
Phone (215) 829-3867
Networks
- devoted network organization-8ee96498-f86e-45f6-9fc9-a0f06c1636f9
- devoted network organization-2d523d8e-e8f9-454a-bcd3-333df65bdbe8
- devoted network organization-9f3dfbd3-4aa6-4c92-8e71-9c4ed35ce037
- OH PPO
- devoted network organization-598bd2d4-c652-473f-ba7a-132f674c8eb6
Organizations & group practices 7
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.
-
- Gynecologic Oncology Physician
- Philadelphia, PA
- NPI 1235527342
-
- Critical Care Medicine (Anesthesiology) Physician
- Philadelphia, PA
- NPI 1235527359
-
- Surgical Oncology Physician
- Philadelphia, PA
- NPI 1871981985
-
- General Acute Care Hospital
- Philadelphia, PA
- NPI 1245207521
-
- General Acute Care Hospital
- Philadelphia, PA
- NPI 1851370910
-
- Cardiovascular Disease Physician
- Philadelphia, PA
- NPI 1093725145
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- West Chester, PA
- NPI 1356333579
-
- General Acute Care Hospital
- Philadelphia, PA
- NPI 1245207521
-
- General Acute Care Hospital
- Phila, PA
- NPI 1063489342
-
- General Acute Care Hospital
- Philadelphia, PA
- NPI 1851370910
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779321600000",
"number": "1013073477",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "51 N 39TH ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191042640",
"telephone_number": "215-349-8310",
"fax_number": "215-724-3560"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "51 N 39TH ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191042640",
"telephone_number": "215-349-8310",
"fax_number": "215-724-3560"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "NIELS",
"middle_name": "DOUGLAS",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-29",
"last_updated": "2026-05-21",
"certification_date": "2026-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0102X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Critical Care",
"state": "PA",
"license": "MD420992",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "PA",
"license": "MD420992",
"primary": false
},
{
"code": "2086S0127X",
"taxonomy_group": "",
"desc": "Surgery, Trauma Surgery",
"state": "PA",
"license": "MD420992",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0125024",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1018343780005",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.