Individual provider Active NPI

Timothy James Martin, M.D.

  • Obstetrics & Gynecology Physician
  • Overland Park, KS
National Provider Identifier
1154305175
Registry record updated Mar 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
423578 Issued in KS
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, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
100127710AMedicaidKS

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100525000636 KS Practitioner - Obstetrics/Gynecology 3072562859 Reassigns benefits to 2 organizations

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
The Womens Healthcare Group PAGroup PAC ID 3577551597, 5 clinicians

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

LicenseStateTypeSpecialty
423578KSMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
The Womens Healthcare Group PA Specialist CurrentSince Jan 1, 2001 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

  • FHIR API: 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.

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.