Individual provider Active NPI

Melissa A Martin, M.D.

  • Obstetrics & Gynecology Physician
  • Woburn, MA
National Provider Identifier
1013178094
Registry record updated Apr 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
253266 Issued in MA
Practice address
800 W Cummings Park Ste 4050
Woburn, MA 01801-6372
Phone
(781) 787-3003
Fax
(781) 281-2406
NPI assigned
Jun 22, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2018

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 253266 MA Primary

Addresses

Primary practice location

800 W Cummings Park Ste 4050
Woburn, MA 01801-6372

Mailing address

800 W Cummings Park Ste 4050
Woburn, MA 01801-6372
Phone (781) 787-3003

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20121116000102 MA Practitioner - Obstetrics/Gynecology 0840441028 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Creighton University School of Dentistry, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
New England Womens HealthcareGroup PAC ID 3476813239, 10 clinicians

Practice addresses (Care Compare)

800 W Cummings Park
Woburn, MA 01801-6372
Phone (781) 787-3003

Hospital & facility affiliations

  • Winchester Hospital Hospital, Winchester, MA, CCN 220105

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
New England Womens Healthcare Obstetrics & Gynecology CurrentSince Feb 1, 2018 Accepting new patients
Winchester Physician Associates, Inc CurrentSince Sep 1, 2012 Accepting new patients
Winchester Hospital Past Accepting new patients

Locations

41 Mall Rd
Burlington, MA 01805
Phone (781) 744-8400

66X Concord St
Wilmington, MA 01887
Phone (781) 787-3003

41 Highland Ave
Winchester, MA 01890
Phone (781) 756-2000

800 W Cummings Park
Ste 4050
Woburn, MA 01801
Phone (781) 787-3003

Interoperability endpoints

  • Direct secure messaging: melissa.martin@newhc.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/GGGBCA/Endpoint/GGGBCA

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 1

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": "1214092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523577600000",
    "number": "1013178094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 W CUMMINGS PARK STE 4050",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018016372",
            "telephone_number": "781-787-3003",
            "fax_number": "781-281-2406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 W CUMMINGS PARK STE 4050",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018016372",
            "telephone_number": "781-787-3003",
            "fax_number": "781-281-2406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "MELISSA",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-22",
        "last_updated": "2018-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MA",
            "license": "253266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woburn, MA

Sources for this page

Verify at the official NPI Registry.