Individual provider Active NPI

Martin Johann Pontasch, MD

  • Emergency Medicine Physician
  • Highlands, NC
National Provider Identifier
1053408872
Registry record updated Jun 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
036170623 Issued in IL
Practice address
190 Hospital Dr
Highlands, NC 28741-7600
Phone
(828) 526-1200
Fax
(828) 526-1230
NPI assigned
Oct 5, 2006
Last updated
Jun 27, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Emergency Response Attendant 146D00000X 35058998P OH
Emergency Medicine Physician 207P00000X 036170623 IL Primary
Emergency Medicine Physician 207P00000X 2015-01079 NC
General Practice Physician 208D00000X ME100079 FL

Addresses

Primary practice location

190 Hospital Dr
Highlands, NC 28741-7600

Mailing address

PO Box 602373
Charlotte, NC 28260-2373
Phone (828) 526-1280

Other identifiers 5

IdentifierTypeStateIssuer
000000344358OtherANTHEM
0874406MedicaidOH
NCS251AOtherNCMEDICARE PTAN
NCS251BOtherNCMEDICARE PTAN
NCS251A194OtherNCMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, FL, NC, TX, IL, KY6 enrollments
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 6

Enrollment IDStateProvider typePAC IDDetails
I20040610001646 OH Practitioner - Emergency Medicine 1456334325 Reassigns benefits to 5 organizations
I20110331000360 FL Practitioner - Emergency Medicine 1456334325 Reassigns benefits to 3 organizations
I20160511001662 NC Practitioner - Emergency Medicine 1456334325
I20220802001929 TX Practitioner - Emergency Medicine 1456334325 Reassigns benefits to 1 organization
I20240710004639 IL Practitioner - Emergency Medicine 1456334325 Reassigns benefits to 1 organization
I20260603002996 KY Practitioner - Emergency Medicine 1456334325 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Northeastern Ohio University College of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
RH Emergency Medicine of Caldwell Medical LLCGroup PAC ID 2163866781, 8 clinicians
Small Hospital Innovations LLCGroup PAC ID 0840415444, 95 clinicians

Practice addresses (Care Compare)

100 Medical Ctr Dr
Princeton, KY 42445-2430
Phone (270) 365-0300

524 W Sagamore Ave
Clewiston, FL 33440-3514
Phone (863) 983-9121

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35058998POHMDPersonal Emergency Response Attendant
036170623ILMDEmergency Medicine Physician
2015-01079NCMDEmergency Medicine Physician
ME100079FLMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pine Ridge Indian Health Service Hospital Current Accepting new patients
Emergency Physicians of Northwest Ohio Inc. Emergency Medicine CurrentSince Nov 1, 2024 Accepting new patients
Emergency Medicine Services of FL, LLC Emergency Medicine CurrentSince Jan 4, 2024 Accepting new patients
Ashland Emergency Group LLC Emergency Medicine CurrentSince Dec 17, 2024 Accepting new patients
Ies Florida PLLC Emergency Medicine CurrentSince Mar 1, 2022 Accepting new patients
Small Hospital Innovations LLC Emergency Medicine CurrentSince Jan 10, 2024 Accepting new patients
Emergency Medicine Physicians of Cuyahoga County, LTD Emergency Medicine CurrentSince May 8, 2024 Accepting new patients
Mercy Emergency Care Services, Inc. Emergency Medicine CurrentSince May 2, 2017 Accepting new patients
Pine Ridge Indian Health Service Hospital CurrentSince Jul 18, 2022 Accepting new patients
Observation Physicians of Northwest Ohio LLC Emergency Medicine CurrentSince Nov 1, 2024 Accepting new patients
Pine Ridge Indian Health Service Hospital CurrentSince Jul 18, 2022 Accepting new patients
Phoenix Emergency Physicians of the Midwest LLC Emergency Medicine Past Accepting new patients
Fostoria Hospital Association Past Accepting new patients
Northwest Ohio Emergency Services, Inc. Emergency Medicine Past Accepting new patients
Medical Emergency Treatment Corporation Emergency Medicine Past Accepting new patients
Noes/Paulding, LTD Emergency Medicine Past Accepting new patients
Norwalk Emergency Services, Inc. Emergency Medicine Past Accepting new patients
University of Toledo Physicians LLC Past Accepting new patients
Emergency Medicine Physicians of Richland County, LTD Emergency Medicine Past Accepting new patients

Locations

900 N Robert Ave
Arcadia, FL 34266
Phone (863) 494-8426

322 SW Pine Island Rd
Cape Coral, FL 33991
Phone (941) 249-6858

524 W Sagamore Ave
Clewiston, FL 33440
Phone (800) 494-3984

700 Medical Blvd
Englewood, FL 34223
Phone (941) 473-5001

1500 Lee Blvd
Lehigh Acres, FL 33936
Phone (239) 368-4410

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

105 Tamiami Trl
Fl Tamiami
Port Charlotte, FL 33953

14000 Fivay Rd
Port Richey, FL 34667
Phone (727) 819-2929

21298 Olean Blvd
Pt Charlotte, FL 33952
Phone (941) 624-7032

540 The Rialto
Venice, FL 34285
Phone (866) 481-2553

141 N Forge St
Akron, OH 44304
Phone (330) 375-3361

1200 Ralston Ave
Defiance, OH 43512
Phone (419) 783-6944

501 Van Buren St
Fostoria, OH 44830
Phone (419) 435-7734

1001 Bellefontaine Ave
Lima, OH 45804
Phone (419) 228-3335

1600 E Riverview Ave
Napoleon, OH 43545
Phone (260) 344-3045

2600 Navarre Ave
Oregon, OH 43616
Phone (419) 696-7200

2801 Bay Park Dr
Oregon, OH 43616
Phone (419) 690-7652

2142 N Cove Blvd
Toledo, OH 43606
Phone (419) 291-1111

3404 W Sylvania Ave
Toledo, OH 43623
Phone (419) 407-1422

Organizations & group practices 21

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

View all 21

Hospital & facility affiliations 4

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": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719446400000",
    "number": "1053408872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 602373",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282602373",
            "telephone_number": "828-526-1280",
            "fax_number": "828-526-1285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 HOSPITAL DR",
            "city": "HIGHLANDS",
            "state": "NC",
            "postal_code": "287417600",
            "telephone_number": "828-526-1200",
            "fax_number": "828-526-1230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PONTASCH",
        "first_name": "MARTIN",
        "middle_name": "JOHANN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2024-06-27",
        "certification_date": "2024-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146D00000X",
            "taxonomy_group": "",
            "desc": "Personal Emergency Response Attendant",
            "state": "OH",
            "license": "35058998P",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "036170623",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NC",
            "license": "2015-01079",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME100079",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000344358",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0874406",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "NCS251A",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "NCS251B",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "NCS251A194",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Highlands, NC

Sources for this page

Verify at the official NPI Registry.