NPIMap

Individual provider Active NPI

Alvin W. Martin, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Louisville, KY
National Provider Identifier
1124005814
Registry record updated Jul 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
22866 Issued in KY
Practice address
2307 Greene Way
Louisville, KY 40220-4009
Phone
(502) 897-9594
Fax
(502) 736-4456
NPI assigned
Dec 23, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology (Pathology) Physician 207ZH0000X 22866 KY
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 22866 KY Primary

Addresses

Primary practice location

2307 Greene Way
Louisville, KY 40220-4009

Mailing address

PO Box 950251
Louisville, KY 40295-0251
Phone (502) 897-9594

Other identifiers 5

IdentifierTypeStateIssuer
64228661MedicaidKY
000000596219OtherKYANTHEM-BLUE CROSS-BLUE SHIELD
3691838000OtherKYPASSPORT ADVANTAGE
50021837OtherKYPASSPORT HEALTH PLAN
200071070MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090226000666 KY Practitioner - Pathology 5092773176 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
University of Louisville School of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clinical Associates LLCGroup PAC ID 3577456300, 28 clinicians

Practice addresses (Care Compare)

4001 Dutchmans LN
Louisville, KY 40207-4714
Phone (502) 897-9594

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
36.11 of 100Reported as individual
Quality
30
Improvement activities
0
Cost
52.73

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
22866KYMDHematology (Pathology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Molecular Pathology Services of the Henry Vogt Cancer Research Inst Hematology PastSince Dec 9, 2004 Accepting new patients
University of Louisville Research Foundation, Inc. Past Accepting new patients
Clinical Associates, LLC Anatomic Pathology & Clinical Pathology PastSince May 16, 2021 Accepting new patients
University of Louisville Research Foundation, Inc Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: amartin37448@direct.nortonhealthcare.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 20

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1135296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278374400000",
    "number": "1124005814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 950251",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402950251",
            "telephone_number": "502-897-9594",
            "fax_number": "502-736-4456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2307 GREENE WAY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402204009",
            "telephone_number": "502-897-9594",
            "fax_number": "502-736-4456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "ALVIN",
        "middle_name": "W.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-23",
        "last_updated": "2010-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZH0000X",
            "taxonomy_group": "",
            "desc": "Pathology, Hematology",
            "state": "KY",
            "license": "22866",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "KY",
            "license": "22866",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64228661",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM-BLUE CROSS-BLUE SHIELD",
            "identifier": "000000596219",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT ADVANTAGE",
            "identifier": "3691838000",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT HEALTH PLAN",
            "identifier": "50021837",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200071070",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.