Individual provider Active NPI

Jeffrey David Martens, MD

  • Internal Medicine Physician
  • Yarmouth Port, MA
National Provider Identifier
1063485795
Registry record updated Jun 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
234351 Issued in MA
Practice address
714 Main St
Yarmouth Port, MA 02675-2000
Phone
(508) 362-1600
Fax
(508) 362-5957
NPI assigned
Feb 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 234351 MA Primary

Addresses

Primary practice location

714 Main St
Yarmouth Port, MA 02675-2000

Mailing address

714 Main St
Yarmouth Port, MA 02675-2000
Phone (508) 362-1600

Other identifiers 2

IdentifierTypeStateIssuer
2151880MedicaidMA
000597301OtherMAPTAN

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
I20080717000201 MA Practitioner - Internal Medicine 0143222786 Reassigns benefits to 1 organization
Practice locations: South Dennis, MA

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Osterville Health Care PC Internal Medicine Current Accepting new patients
Cape Cod Primary Care LLC Internal Medicine CurrentSince Apr 15, 2019 Accepting new patients
Advanced Audiology Associates, Inc. PastSince Apr 15, 2019 Accepting new patients

Locations

714 Main St
Yarmouth Port, MA 02675
Phone (508) 362-1600

714 Main St
#6A
Yarmouth Port, MA 02675
Phone (508) 362-1600

714 Main St
Ste 706A
Yarmouth Port, MA 02675
Phone (508) 362-1600

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1139788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338854400000",
    "number": "1063485795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "714 MAIN ST",
            "city": "YARMOUTH PORT",
            "state": "MA",
            "postal_code": "026752000",
            "telephone_number": "508-362-1600",
            "fax_number": "508-362-5957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 MAIN ST",
            "city": "YARMOUTH PORT",
            "state": "MA",
            "postal_code": "026752000",
            "telephone_number": "508-362-1600",
            "fax_number": "508-362-5957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTENS",
        "first_name": "JEFFREY",
        "middle_name": "DAVID",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-13",
        "last_updated": "2012-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "234351",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2151880",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "000597301",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yarmouth Port, MA

Sources for this page

Verify at the official NPI Registry.