Active NPI
Timothy James Martin, M.D.
- Obstetrics & Gynecology Physician
- Overland Park, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 423578
- Practice address
- 10600 Quivira Rd Ste 200
Overland Park, KS 66215-2311 - Phone
- (913) 541-0990
- Fax
- (913) 541-1452
- NPI assigned
- Dec 2, 2005
- Last updated
- Mar 6, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 423578 | KS | |
| Obstetrics & Gynecology Physician | 207V00000X | 423578 | KS | Primary |
Addresses
Primary practice location
10600 Quivira Rd Ste 200
Overland Park, KS 66215-2311
Mailing address
10600 Quivira Rd Ste 200
Overland Park, KS 66215-2311
Phone (913) 541-0990
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100127710A | Medicaid | KS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- University of Missouri, Kansas City, School of Medicine, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10600 Quivira Rd
Suite 200
Overland Park, KS 66215-2311
Phone (913) 541-0990
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 423578 | KS | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Womens Healthcare Group PA | Specialist | Current | Accepting new patients |
| Midwest Women's Care, P.a. | Obstetrics & Gynecology | Past | Accepting new patients |
Locations
10550 Quivira Rd
Ste 410
Overland Park, KS 66215
Phone (913) 541-0990
10500 Quivira Rd
Shawnee Mission, KS 66215
Phone (913) 227-0565
8800 W 75th St
Ste 320
Shawnee Msn, KS 66204
Phone (913) 362-2229
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/JBABCD/Endpoint/JBABCD
Organizations & group practices 3
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.
-
- Specialist
- Overland Park, KS
- NPI 1891866505
-
- Internal Medicine Physician
- Overland Park, KS
- NPI 1134920580
-
- Obstetrics & Gynecology Physician
- Shawnee Mission, KS
- NPI 1720396765
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Overland Park Regional Medical Center
- General Acute Care Hospital
- Overland Park, KS
- NPI 1578500484
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133481600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583452800000",
"number": "1154305175",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10600 QUIVIRA RD STE 200",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662152311",
"telephone_number": "913-541-0990",
"fax_number": "913-541-1452"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10600 QUIVIRA RD STE 200",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662152311",
"telephone_number": "913-541-0990",
"fax_number": "913-541-1452"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "TIMOTHY",
"middle_name": "JAMES",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-02",
"last_updated": "2020-03-06",
"certification_date": "2020-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "KS",
"license": "423578",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "KS",
"license": "423578",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100127710A",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Overland Park, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2020; 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.