Active NPI
Martin Brieschke, MD
- Anesthesiology Physician
- New Albany, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 01067924A
- Practice address
- 1850 State St
New Albany, IN 47150-4990 - Phone
- (502) 625-5584
- Fax
- (502) 426-2264
- NPI assigned
- May 25, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 57010440 | OH | |
| Anesthesiology Physician | 207L00000X | 01067924A | IN | Primary |
Addresses
Primary practice location
1850 State St
New Albany, IN 47150-4990
Mailing address
320 Whittington Pkwy
Suite 301
Louisville, KY 40222-4928
Phone (502) 625-5584
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200984490 | Medicaid | IN | |
| 50028804 | Other | IN | PASSPORT |
| 115794 | Other | IN | SIHO |
| 3783137000 | Other | IN | PASSPORT ADVANTAGE |
| 7100118850 | Medicaid | KY | |
| 000000664767 | Other | IN | ANTHEM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, KY, OH, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100728000211 | IN | Practitioner - Anesthesiology | 4981737996 | Reassigns benefits to 1 organization |
| I20201015002895 | KY | Practitioner - Anesthesiology | 4981737996 | Reassigns benefits to 1 organization |
| I20231206000636 | OH | Practitioner - Anesthesiology | 4981737996 | Reassigns benefits to 1 organization |
| I20240130000817 | IL | Practitioner - Anesthesiology | 4981737996 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Northstar Anesthesia of Indiana LLCProfessional Anesthesia Services of Kentucky PLLC
Practice addresses (Care Compare)
1850 State St
New Albany, IN 47150-4990
Phone (812) 944-7701
200 E Chestnut St
Louisville, KY 40202-1831
Phone (502) 629-8000
4000 Kresge Way
Louisville, KY 40207-4605
Phone (502) 897-8100
4960 Norton Healthcare Blvd
Louisville, KY 40241-2831
Phone (502) 446-8000
913 N Dixie Ave
Elizabethtown, KY 42701-2503
Phone (270) 706-1212
Hospital & facility affiliations
- Baptist Health Floyd
- Baptist Health Louisville
- Baptist Health Hardin
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 57010440 | OH | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia & Intensive Care Consultants,Inc. | Anesthesiology | Current | Accepting new patients |
| Northstar Anesthesia of Indiana LLC | Anesthesiology | Current | Accepting new patients |
| Professional Anesthesia Services of Kentucky PLLC | Anesthesiology | Current | Accepting new patients |
| Northstar Anesthesia of Illinois, LLC | Anesthesiology | Current | Accepting new patients |
| Southwest Ohio Anesthesia Consultants LLC | Anesthesiology | Current | Accepting new patients |
| Southern Indiana Anesthesia Consultants, PLLC | Anesthesiology | Past | Accepting new patients |
| U S Anesthesia Partners of Kentucky PSC | Anesthesiology | Past | Accepting new patients |
| One Anesthesia PLLC | Anesthesiology | Past | Accepting new patients |
Locations
13500 Powers Ct
Ste 230
Fort Myers, FL 33912
Phone (239) 610-0784
405 W Jackson St
Carbondale, IL 62901
201 S 14th St
Herrin, IL 62948
Phone (618) 942-2171
1423 Chicago Rd
Sauk Village, IL 60411
Phone (708) 679-2160
24 Joliet St
Dyer, IN 46311
Phone (219) 864-2237
1850 State St
New Albany, IN 47150
Phone (812) 944-7701
913 N Dixie Ave
Elizabethtown, KY 42701
Phone (270) 706-1212
200 E Chestnut St
Louisville, KY 40202
Phone (502) 446-8000
4000 Kresge Way
St Matthews, KY 40207
Phone (502) 459-7902
7500 State Rd
Cincinnati, OH 45255
Phone (513) 624-4034
Organizations & group practices 8
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.
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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": "1180051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1462320000000",
"number": "1033320320",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "320 WHITTINGTON PKWY",
"address_2": "SUITE 301",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402224928",
"telephone_number": "502-625-5584",
"fax_number": "502-426-2264"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1850 STATE ST",
"city": "NEW ALBANY",
"state": "IN",
"postal_code": "471504990",
"telephone_number": "502-625-5584",
"fax_number": "502-426-2264"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRIESCHKE",
"first_name": "MARTIN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-25",
"last_updated": "2016-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "OH",
"license": "57010440",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "IN",
"license": "01067924A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200984490",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PASSPORT",
"identifier": "50028804",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SIHO",
"identifier": "115794",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PASSPORT ADVANTAGE",
"identifier": "3783137000",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100118850",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000664767",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New Albany, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2016; 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.