Individual provider Active NPI

Walburga S Martin, M.D.

  • Family Medicine Physician
  • Benton City, WA
National Provider Identifier
1053408336
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ML20008180 Issued in WA
Practice address
701 Dale Ave
Benton City, WA 99320
Phone
(509) 588-4075
Fax
(509) 588-4197
NPI assigned
Oct 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ML20008180 WA Primary

Addresses

Primary practice location

701 Dale Ave
Benton City, WA 99320

Mailing address

723 Memorial St
Prosser, WA 99350
Phone (509) 786-2222

Other names 1

  • Walburga Stephanie Martin Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20081103000215 WA Practitioner - Family PracticePractitioner - General PracticePractitioner - Obstetrics/Gynecology 6709945983 Reassigns benefits to 1 organization
Practice locations: Pasco, WA

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Arkansas College of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

200 Prosser Health Dr
Prosser, WA 99350-7832
Phone (509) 788-6022

336 Chardonnay Ave
Prosser, WA 99350-9515

723 Memorial St
Prosser, WA 99350-1524
Phone 50978655995599

723 Memorial St
Prosser, WA 99350-1593

820 Memorial St
Suite 3
Prosser, WA 99350-2504
Phone 50978655995599

Hospital & facility affiliations

  • Tri-Cities Home Health Home health agency, Kennewick, WA, CCN 507010
  • Prosser Memorial Hospital Hospital, Prosser, WA, CCN 501312

Merit-based Incentive Payment System (MIPS)

Final score
83.73 of 100Reported as group
Quality
80.23
Promoting interoperability
82
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ML20008180WAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prosser Public Hospital District of Benton County CurrentSince May 8, 2011 Accepting new patients
Prosser Public Hospital District of Benton County CurrentSince May 8, 2011 Accepting new patients
Prosser Public Hospital District of Benton County Past Accepting new patients
Prosser Public Hospital District of Benton County Past Accepting new patients
Prosser Public Hospital District of Benton County Past Accepting new patients

Locations

701 Dale Ave
Ste A
Benton City, WA 99320
Phone (509) 588-4075

1105 Dale Ave
Benton City, WA 99320
Phone (509) 588-4075

701 Dale Ave
Benton City, WA 99320
Phone (509) 588-4075

336 Chardonnay Ave
#A
Prosser, WA 99350
Phone (509) 786-1576

723 Memorial St
Prosser, WA 99350
Phone (509) 786-2222

Organizations & group practices 5

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 2

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": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1053408336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "723 MEMORIAL ST",
            "city": "PROSSER",
            "state": "WA",
            "postal_code": "99350",
            "telephone_number": "509-786-2222",
            "fax_number": "509-786-6612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 DALE AVE",
            "city": "BENTON CITY",
            "state": "WA",
            "postal_code": "99320",
            "telephone_number": "509-588-4075",
            "fax_number": "509-588-4197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "WALBURGA",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-06",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "ML20008180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WALBURGA",
            "last_name": "MARTIN",
            "middle_name": "STEPHANIE",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Benton City, WA

Sources for this page

Verify at the official NPI Registry.