Active NPI
James V Martino, MD
- Pulmonary Disease Physician
- Hazleton, PA
National Provider Identifier
1144220567
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- MD048040L
- Practice address
- 149 N Vine St
Hazleton, PA 18201-5852 - Phone
- (570) 459-0414
- Fax
- (570) 978-3465
- NPI assigned
- Jul 28, 2005
- Last updated
- Jul 31, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | MD048040L | PA | Primary |
Addresses
Primary practice location
149 N Vine St
Hazleton, PA 18201-5852
Mailing address
149 N Vine St
Hazleton, PA 18201-5852
Phone (570) 459-0414
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00152492600002 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050510000374 | PA | Practitioner - Pulmonary Disease | 2365482387 | Practice locations: Wilkes Barre, PA; Wilkes-Barre, PA |
Care Compare profile
Medicare Care Compare- Specialty
- Pulmonary Disease
- Education
- Jefferson Medical College of Thomas Jefferson University, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
545 N River St
Suite 40
Wilkes Barre, PA 18702-2647
Phone (570) 371-3575
Hospital & facility affiliations
- Wilkes-Barre General Hospital
- Geisinger Wyoming Valley Medical Center
- Geisinger-Community Medical Center
- Geisinger Medical Center
- Lehigh Valley Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lehigh Valley Physician Group | Past | Accepting new patients | |
| Hazleton Professional Services | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Lehigh Valley Physician Group-Hazleton
- Internal Medicine Physician
- Hazleton, PA
- NPI 1952464638
-
- General Practice Physician
- Hazleton, PA
- NPI 1942609599
Hospital & facility affiliations 63
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Geisinger Cardiology Scranton, A service of GCMC
- Clinic/Center
- Scranton, PA
- NPI 1285032128
Hospital
-
dba Geisinger Community Medical Center
- Endocrinology, Diabetes & Metabolism Physician
- Scranton, PA
- NPI 1306439856
Hospital
-
dba Geisinger Community Medical Center
- General Acute Care Hospital
- Scranton, PA
- NPI 1366444507
-
- General Acute Care Hospital
- Scranton, PA
- NPI 1972652063
-
dba Geisinger Medical Oncology Selinsgrove, a Service of GMC
- General Acute Care Hospital
- Danville, PA
- NPI 1013384809
-
- General Acute Care Hospital
- Coal Township, PA
- NPI 1033491741
-
- Psychiatric Hospital Unit
- Danville, PA
- NPI 1144301102
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1217462400000",
"number": "1144220567",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "149 N VINE ST",
"city": "HAZLETON",
"state": "PA",
"postal_code": "182015852",
"telephone_number": "570-459-0414",
"fax_number": "570-978-3465"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "149 N VINE ST",
"city": "HAZLETON",
"state": "PA",
"postal_code": "182015852",
"telephone_number": "570-459-0414",
"fax_number": "570-978-3465"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINO",
"first_name": "JAMES",
"middle_name": "V",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-07-28",
"last_updated": "2008-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "PA",
"license": "MD048040L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00152492600002",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hazleton, PA
- Manor at St. Luke Village Facility Operations, LLC (The Manor at St. Luke Village)
- Kristen Marchak I
- Wendy Kristina Marek, PHARMD
- Jacquelene Helen Marrero
- Gayle Martino, MPT
- Lauren Marie Martonick, LPC
- Tammy Marushin, MS, OTR/L
- Masias Chiorpractic Health Center
- Michael Theodore Masias, D.C.
- Rhonda Gail Mason, L.C.S.W.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.