Individual provider Active NPI

Jeffrey Brian Martin, M.D.

  • Anesthesiology Physician
  • Elgin, IL
National Provider Identifier
1104079862
Registry record updated Jun 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
036133427 Issued in IL
Practice address
1425 N Randall Rd
Elgin, IL 60123-2300
Phone
(847) 742-9800
NPI assigned
Oct 28, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 8, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 101705 WI
Emergency Medicine Physician 207P00000X 125054163 TN
Anesthesiology Physician 207L00000X 0101281968 VA
Anesthesiology Physician 207L00000X 125-054163 IL
Anesthesiology Physician 207L00000X 036133427 IL Primary

Addresses

Primary practice location

1425 N Randall Rd
Elgin, IL 60123-2300

Mailing address

12251 S 80TH Ave
Palos Heights, IL 60463-1290
Phone (708) 923-4000

Other practice location 1

5841 S Maryland Ave
Chicago, IL 60637-1443
Phone (888) 824-0200

Other practice location 2

1 Ingalls Dr
Harvey, IL 60426-3558
Phone (888) 824-0200

Other practice location 3

4440 W 95th St
Oak Lawn, IL 60453-2600
Phone (708) 684-8000

Other practice location 4

1301 Medical Center Dr
4648 TVC
Nashville, TN 37232-5614
Phone (856) 266-6009

Other practice location 5

12251 S 80th Ave
Palos Heights, IL 60463-1290
Phone (708) 923-4000

Other practice location 6

875 South Route 31
Crystal Lake, IL 60014-8190
Phone (888) 396-3729

Other practice location 7

2900 W Oklahoma Ave
Milwaukee, WI 53215-4330
Phone (414) 649-6000

Other identifiers 1

IdentifierTypeStateIssuer
100273123MedicaidWI

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address jmartin382356@direct.myadvocateaurora.org
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, VA, WI3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20130828000452 IL Practitioner - AnesthesiologyPractitioner - Interventional Pain Management 2668625047 Reassigns benefits to 10 organizations
I20240514001108 VA Practitioner - Anesthesiology 2668625047 Reassigns benefits to 1 organization
I20241001003321 WI Practitioner - Anesthesiology 2668625047 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Interventional Pain Management
Education
Northwestern University Feinberg Medical School, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ucm Medical Group Sub LLCGroup PAC ID 4688635337, 101 clinicians
Loyola University Medical CenterGroup PAC ID 3779488903, 917 clinicians
Racine Anesthesia Services LLCGroup PAC ID 8628103777, 81 clinicians

Practice addresses (Care Compare)

1 Ingalls Dr
Harvey, IL 60426-3558
Phone (708) 333-2300

2160 S 1St Ave
Maywood, IL 60153-3328
Phone (708) 216-8372

3801 Spring St
Mount Pleasant, WI 53405-1667
Phone (262) 687-4392

Hospital & facility affiliations

  • Loyola University Medical Center Hospital, Maywood, IL, CCN 140276
  • Ingalls Memorial Hospital Hospital, Harvey, IL, CCN 140191

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
46506TNMDPharmacist
125-054163ILMDAnesthesiology Physician
0101281968VAMDAnesthesiology Physician
101705WIMDAnesthesiology Physician
125054163TNMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health System Corporation CurrentSince Mar 15, 2024 Accepting new patients
Advocate Health and Hospitals Corporation Current Accepting new patients
Windy City Anesthesia PC Anesthesiology CurrentSince Oct 1, 2023 Accepting new patients
Racine Anesthesia Services, LLC Anesthesiology CurrentSince Apr 1, 2026 Accepting new patients
Loyola University Medical Center CurrentSince Nov 1, 2024 Accepting new patients
Windy City Anesthesia PC CurrentSince Oct 1, 2023 Accepting new patients
American Anesthesiology of Virginia PC Anesthesiology CurrentSince Mar 31, 2024 Accepting new patients
Mercy Health System Corporation CurrentSince Mar 15, 2024 Accepting new patients
Advocate Health & Hospitals Corp. Emergency Medicine CurrentSince Oct 1, 2023 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Oct 1, 2023 Accepting new patients
Loyola University Medical Center CurrentSince Nov 1, 2024 Accepting new patients
Mercy Harvard Hospital Inc CurrentSince Dec 1, 2025 Accepting new patients
American Anesthesiology of Virginia, PC Anesthesiology CurrentSince Mar 31, 2024 Accepting new patients
University of Chicago CurrentSince Jun 1, 2026 Accepting new patients
Novus Illinois Service Corporation Anesthesiology CurrentSince Jul 1, 2023 Accepting new patients
Ucm Medical Group Sub, LLC CurrentSince Oct 6, 2024 Accepting new patients
Mercy Harvard Hospital Inc CurrentSince Dec 1, 2025 Accepting new patients

Locations

214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160

29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652

355 E Grand Ave
Chicago, IL 60611
Phone (312) 587-3432

29373 Network Pl
Chicago, IL 60673

27702 Network Pl
Chicago, IL 60673

645 S Central Ave
Chicago, IL 60644
Phone (773) 626-4300

875 S State Route 31
Crystal Lake, IL 60014
Phone (779) 220-5500

1425 N Randall Rd
Elgin, IL 60123
Phone (224) 783-5437

21120 Washington Pkwy
Frankfort, IL 60423
Phone (815) 469-9750

348 S Division St
Harvard, IL 60033
Phone (815) 943-1122

901 Grant St
Harvard, IL 60033
Phone (815) 943-5431

1 Ingalls Dr
Harvey, IL 60426
Phone (708) 333-2300

500 W Court St
Kankakee, IL 60901
Phone (800) 585-4119

350 N Wall St
Kankakee, IL 60901
Phone (815) 935-7500

2160 S 1st Ave
Maywood, IL 60153
Phone (708) 216-4400

4440 W 95th St
Oak Lawn, IL 60453
Phone (708) 346-5520

12251 S 80th Ave
Palos Heights, IL 60463
Phone (708) 361-4500

10401 S Roberts Rd
Ste 2
Palos Hills, IL 60465
Phone (708) 430-1600

900 N 2nd St
Rochelle, IL 61068
Phone (815) 562-2181

1401 E State St
Rockford, IL 61104
Phone (815) 489-4267

1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796

19455 Deerfield Ave
Ste 204
Leesburg, VA 20176
Phone (703) 724-9950

3801 Spring St
Mount Pleasant, WI 53405
Phone (262) 636-4011

Interoperability endpoints

  • Direct secure messaging: jmartin382356@direct.myadvocateaurora.org

Organizations & group practices 19

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.

View all 19

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": "1225152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780876800000",
    "number": "1104079862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12251 S 80TH AVE",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631290",
            "telephone_number": "708-923-4000",
            "fax_number": "708-923-8848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 N RANDALL RD",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601232300",
            "telephone_number": "847-742-9800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5841 S Maryland Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606371443",
            "country_code": "US",
            "telephone_number": "888-824-0200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Ingalls Dr",
            "address_purpose": "LOCATION",
            "city": "Harvey",
            "state": "IL",
            "postal_code": "604263558",
            "country_code": "US",
            "telephone_number": "888-824-0200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4440 W 95th St",
            "address_purpose": "LOCATION",
            "city": "Oak Lawn",
            "state": "IL",
            "postal_code": "604532600",
            "country_code": "US",
            "telephone_number": "708-684-8000",
            "fax_number": "708-684-2058",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1301 Medical Center Dr",
            "address_2": "4648 TVC",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372325614",
            "country_code": "US",
            "telephone_number": "856-266-6009",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12251 S 80th Ave",
            "address_purpose": "LOCATION",
            "city": "Palos Heights",
            "state": "IL",
            "postal_code": "604631290",
            "country_code": "US",
            "telephone_number": "708-923-4000",
            "fax_number": "708-923-8848",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "875 South Route 31",
            "address_purpose": "LOCATION",
            "city": "Crystal Lake",
            "state": "IL",
            "postal_code": "600148190",
            "country_code": "US",
            "telephone_number": "888-396-3729",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2900 W Oklahoma Ave",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532154330",
            "country_code": "US",
            "telephone_number": "414-649-6000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "JEFFREY",
        "middle_name": "BRIAN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-10-28",
        "last_updated": "2026-06-08",
        "certification_date": "2026-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "WI",
            "license": "101705",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TN",
            "license": "125054163",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "VA",
            "license": "0101281968",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IL",
            "license": "125-054163",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IL",
            "license": "036133427",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100273123",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jmartin382356@direct.myadvocateaurora.org",
            "affiliation": "N",
            "address_1": "1425 N Randall Rd",
            "city": "Elgin",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601232300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "1425 N Randall Rd",
            "city": "Elgin",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601232300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Elgin, IL

Sources for this page

Verify at the official NPI Registry.