Individual provider Active NPI

George M Martin, MD

  • Dermatology Physician
  • Kihei, HI
National Provider Identifier
1134147994
Registry record updated Jun 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
MD6819 Issued in HI
Practice address
161 Wailea Ike PL Ste A104
Kihei, HI 96753-6502
Phone
(808) 875-0511
Fax
(808) 875-8595
NPI assigned
Jul 18, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X MD6819 HI Primary
Procedural Dermatology Physician 207NS0135X MD6819 HI

Addresses

Primary practice location

161 Wailea Ike PL Ste A104
Kihei, HI 96753-6502

Mailing address

41 E Lipoa Street
Suite 21
Kihei, HI 96753-8148
Phone (808) 875-0511

Other identifiers 1

IdentifierTypeStateIssuer
529216MedicaidHI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI
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
I20060821000003 HI Practitioner - Dermatology 5890798417 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Temple University School of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
George M Martin MD, IncGroup PAC ID 6507907656, 2 clinicians

Practice addresses (Care Compare)

161 Wailea Ike PL
Suite A104
Kihei, HI 96753-6502
Phone (808) 875-0511

Merit-based Incentive Payment System (MIPS)

Final score
93.65 of 100Reported as group
Quality
100
Promoting interoperability
93
Improvement activities
40
Cost
84.65

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision54
Removal of skin lesions229
Skin biopsy265

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD6819HIMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
George M Martin MD, Inc CurrentSince Aug 27, 2009 Accepting new patients
Brian a. Stolley MD, Inc Past Accepting new patients

Locations

41 E Lipoa St
Ste 21
Kihei, HI 96753
Phone (808) 875-0511

161 Wailea Ike Pl
Ste A104
Wailea, HI 96753
Phone (808) 757-6106

Interoperability endpoints

  • Direct secure messaging: gmartin@directaddress.net

Organizations & group practices 2

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": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686528000000",
    "number": "1134147994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 E LIPOA STREET",
            "address_2": "SUITE 21",
            "city": "KIHEI",
            "state": "HI",
            "postal_code": "967538148",
            "telephone_number": "808-875-0511",
            "fax_number": "808-875-8595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 WAILEA IKE PL STE A104",
            "city": "KIHEI",
            "state": "HI",
            "postal_code": "967536502",
            "telephone_number": "808-875-0511",
            "fax_number": "808-875-8595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "GEORGE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2023-06-12",
        "certification_date": "2023-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "HI",
            "license": "MD6819",
            "primary": true
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "HI",
            "license": "MD6819",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529216",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kihei, HI

Sources for this page

Verify at the official NPI Registry.