Individual provider Active NPI

Miriam Dalton Martin, M.D.

  • Emergency Medicine Physician
  • Galax, VA
National Provider Identifier
1154348787
Registry record updated Nov 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
0101235041 Issued in VA
Practice address
200 Hospital Dr
Galax, VA 24333-2227
Phone
(276) 236-8181
Fax
(540) 236-1715
NPI assigned
Jul 17, 2006
Last updated
Nov 13, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 0101235041 VA Primary
General Practice Physician 208D00000X D0040898 MD
Emergency Medicine Physician 207P00000X 35C.003230 OH
Emergency Medicine Physician 207P00000X D40898 MD

Addresses

Primary practice location

200 Hospital Dr
Galax, VA 24333-2227

Mailing address

200 Corporate Blvd
Lafayette, LA 70508-3870
Phone (800) 893-9698

Other practice location 1

8816 Jericho City Dr
Landover, MD 20785-4762
Phone (301) 808-0341

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepiceast.kp.org:14430/Interconnect-prodmam/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, MD, OH3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20040205001249 VA Practitioner - Emergency Medicine 0941100218 Reassigns benefits to 5 organizations
I20150326000130 MD Practitioner - Emergency MedicinePractitioner - General Practice 0941100218 Reassigns benefits to 2 organizations
I20251125003953 OH Practitioner - Emergency Medicine 0941100218 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Professional Emergency Physician Services, LLCGroup PAC ID 5395728687, 10 clinicians

Practice addresses (Care Compare)

251 N 4TH St
Oakland, MD 21550-1375
Phone (301) 533-4190

3000 Coliseum Dr
Hampton, VA 23666-5963
Phone (757) 736-1000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35C.003230OHMDEmergency Medicine Physician
0101235041VAMDEmergency Medicine Physician
D0040898MDMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Physician Associates of Ohio, Inc Emergency Medicine CurrentSince Jan 1, 2026 Accepting new patients
Emergency Professional Services, Inc. Emergency Medicine CurrentSince Dec 1, 2025 Accepting new patients
Emergency Medicine Associates, P.a.,P.C. CurrentSince Jul 5, 2017 Accepting new patients
Emergency Physicians of Southern Virginia LLP Emergency Medicine CurrentSince Aug 26, 2019 Accepting new patients
Emergency Coverage, LLC Emergency Medicine CurrentSince Jun 14, 2017 Accepting new patients
Professional Emergency Physician Services, LLC Emergency Medicine CurrentSince Sep 13, 2016 Accepting new patients
Emergency Medicine Services of VA, LLC Emergency Medicine CurrentSince Nov 1, 2024 Accepting new patients
Emergency Coverage Services, PC Past Accepting new patients
Memn Hospitalists, LLC Emergency Medicine Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
West Baltimore Emergency Medicine Physicians, LLC Emergency Medicine Past Accepting new patients
National Emergency Services District of Columbia Inc Emergency Medicine Past Accepting new patients
Riverside Emergency Physicians LLP Emergency Medicine Past Accepting new patients
Contee Emergency Physicians Emergency Medicine Past Accepting new patients

Locations

200 Corporate Blvd
Lafayette, LA 70508

251 N 4th St
Oakland, MD 21550
Phone (301) 533-4000

18697 Bagley Rd
Middleburg Heights, OH 44130
Phone (440) 816-8000

500 Martha Jefferson Dr
Charlottesvle, VA 22911
Phone (434) 654-7000

142 S Main St
Danville, VA 24541
Phone (434) 799-2100

100 Fairview Dr
Franklin, VA 23851
Phone (757) 516-1153

4600 Spotsylvania Pkwy
Fredericksburg, VA 22408
Phone (540) 498-4000

200 Hospital Dr
Galax, VA 24333
Phone (276) 236-6011

15225 Heathcote Blvd
Haymarket, VA 20169
Phone (571) 284-1000

11803 Jefferson Ave
Newport News, VA 23606
Phone (757) 594-1000

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 3

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": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762992000000",
    "number": "1154348787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 CORPORATE BLVD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705083870",
            "telephone_number": "800-893-9698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 HOSPITAL DR",
            "city": "GALAX",
            "state": "VA",
            "postal_code": "243332227",
            "telephone_number": "276-236-8181",
            "fax_number": "540-236-1715"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8816 Jericho City Dr",
            "address_purpose": "LOCATION",
            "city": "Landover",
            "state": "MD",
            "postal_code": "207854762",
            "country_code": "US",
            "telephone_number": "301-808-0341",
            "fax_number": "301-350-1983",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "MIRIAM",
        "middle_name": "DALTON",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2025-11-13",
        "certification_date": "2025-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "VA",
            "license": "0101235041",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MD",
            "license": "D0040898",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "35C.003230",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MD",
            "license": "D40898",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepiceast.kp.org:14430/Interconnect-prodmam/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq",
            "affiliation": "N",
            "endpointDescription": "Carequality",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "8816 Jericho City Dr",
            "city": "Landover",
            "state": "MD",
            "country_code": "US",
            "postal_code": "207854762",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Galax, VA

Sources for this page

Verify at the official NPI Registry.