NPIMap

Individual provider Active NPI

Danko Martincic, MD

  • Hematology & Oncology Physician
  • Post Falls, ID
National Provider Identifier
1124071592
Registry record updated Aug 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
MC-0445 Issued in ID
Practice address
1641 E Polston Ave Ste 102
Post Falls, ID 83854-2668
Phone
(208) 755-2804
Fax
(208) 765-0277
NPI assigned
May 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology (Internal Medicine) Physician 207RH0000X MC-0445 ID
Hematology & Oncology Physician 207RH0003X MD00046391 WA
Medical Oncology Physician 207RX0202X MC-0445 ID
Hematology & Oncology Physician 207RH0003X MC-0445 ID Primary

Addresses

Primary practice location

1641 E Polston Ave Ste 102
Post Falls, ID 83854-2668

Mailing address

3815 N Schreiber Way Ste 101
Coeur D Alene, ID 83815-8362
Phone (208) 755-2804

Other identifiers 2

IdentifierTypeStateIssuer
1124071592MedicaidID
1002988MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, ID2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20060619000318 WA Practitioner - Hematology/Oncology 4880606631 Reassigns benefits to 1 organization
I20200507001785 ID Practitioner - Hematology/Oncology 4880606631 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Beacon Cancer Care PLLC 15 clinicians

Practice addresses (Care Compare)

3815 N Schreiber Way
Unit 101
Coeur D Alene, ID 83815-8434
Phone (208) 755-2804

Hospital & facility affiliations

  • Kootenai Health Hospital, Coeur D'Alene, ID, CCN 130049
  • Northwest Specialty Hospital Hospital, Post Falls, ID, CCN 130066
  • Shoshone Medical Center Hospital, Kellogg, ID, CCN 131314
  • Benewah Community Hospital Hospital, Saint Maries, ID, CCN 131317
  • Bonner General Hospital Hospital, Sandpoint, ID, CCN 131328

Merit-based Incentive Payment System (MIPS)

Final score
86.65 of 100Reported as apm
Quality
89.26
Promoting interoperability
69.9
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sunnyside Community Hospital Association Current Accepting new patients
Beacon Cancer Care PLLC CurrentSince Nov 17, 2024 Accepting new patients
Beacon Cancer Care PLLC Hematology CurrentSince Jul 1, 2020 Accepting new patients
Sunnyside Community Hospital Association CurrentSince Mar 10, 2019 Accepting new patients
Sunnyside Community Hospital Association CurrentSince Mar 10, 2019 Accepting new patients

Locations

3815 N Schreiber Way
Unit 101
Coeur D Alene, ID 83815
Phone (208) 755-2804

980 W Ironwood Dr
Ste 207
Coeur D Alene, ID 83814
Phone (208) 755-2804

1641 E Polston Ave
Ste 102
Post Falls, ID 83854
Phone (208) 618-5212

2925 Allen Rd
Sunnyside, WA 98944
Phone (509) 837-4949

502 W 4th Ave
Toppenish, WA 98948
Phone (509) 575-5000

110 S 9th Ave
Yakima, WA 98902
Phone (509) 575-5000

1005 W Walnut St
Ste 120
Yakima, WA 98902
Phone (509) 248-6080

Organizations & group practices 6

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 7

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": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692921600000",
    "number": "1124071592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3815 N SCHREIBER WAY STE 101",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838158362",
            "telephone_number": "208-755-2804",
            "fax_number": "208-765-0277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1641 E POLSTON AVE STE 102",
            "city": "POST FALLS",
            "state": "ID",
            "postal_code": "838542668",
            "telephone_number": "208-755-2804",
            "fax_number": "208-765-0277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINCIC",
        "first_name": "DANKO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2023-08-25",
        "certification_date": "2023-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology",
            "state": "ID",
            "license": "MC-0445",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "WA",
            "license": "MD00046391",
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "ID",
            "license": "MC-0445",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "ID",
            "license": "MC-0445",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1124071592",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1002988",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Post Falls, ID

Sources for this page

Verify at the official NPI Registry.