W Randy Martin, M.D.

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

G55146 Issued in CA

Practice address

5 Medical Plaza Dr
Suite 190
Roseville, CA 95661-2865

Phone

(916) 786-7498

Fax

(916) 786-2715

NPI assigned

Jun 14, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Walter Randolph Martin Other name

Medicare fee-for-service enrollment

Enrolled in CA

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

Specialty

Pulmonary DiseaseAlso: Infectious Disease

Education

University of Washington School of Medicine, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Pulmonary Medicine Associates Medical Group Inc.Group PAC ID 4981506730, 93 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Sutter Roseville Medical Center Hospital, Roseville, CA, CCN 050309
• Sutter Medical Center, Sacramento Hospital, Sacramento, CA, CCN 050108
• Sutter Auburn Faith Hospital Hospital, Auburn, CA, CCN 050498
• Sierra Nevada Memorial Hospital Hospital, Grass Valley, CA, CCN 050150
• Adventist Health and Rideout Hospital, Marysville, CA, CCN 050133

Merit-based Incentive Payment System (MIPS)

Final score

93.14 of 100Reported as individual

Quality

82.57

Promoting interoperability

100

Improvement activities

40

Cost

70.73

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: w.martin.1@1119.direct.athenahealth.com

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.

• Pulmonary Medicine Associates Medical Group, Inc

  • Pulmonary Disease Physician
  • Sacramento, CA
  • NPI 1407880719

  Infectious Disease

  Medicare reassignment Care Compare group NPD
• Pulmonary Medicine Associates Sleep Lab Inc.

  • Sleep Disorder Diagnostic Clinic/Center
  • Sacramento, CA
  • NPI 1255359378

  Pulmonary Disease

  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Rideout Memorial Hospital

  • General Acute Care Hospital
  • Marysville, CA
  • NPI 1720088354
  Care Compare affiliation
• Sierra Nevada Memorial-Miners Hospital

  • General Acute Care Hospital
  • Grass Valley, CA
  • NPI 1659361392
  Care Compare affiliation
• Sutter Valley Hospitals

  • General Acute Care Hospital
  • Auburn, CA
  • NPI 1194774299
  Care Compare affiliation
• Sutter Valley Hospitals

  • General Acute Care Hospital
  • Roseville, CA
  • NPI 1356390264
  Care Compare affiliation
• Sutter Valley Hospitals

  • Home Health Agency
  • Auburn, CA
  • NPI 1417987751

  Hospital

  Care Compare affiliation
• Sutter Valley Hospitals

  • General Acute Care Hospital
  • Sacramento, CA
  • NPI 1811946734
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362009600000",
    "number": "1174566566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3637 MISSION AVE",
            "address_2": "SUITE 7",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956082946",
            "telephone_number": "916-786-7498",
            "fax_number": "916-786-2715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 MEDICAL PLAZA DR",
            "address_2": "SUITE 190",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956612865",
            "telephone_number": "916-786-7498",
            "fax_number": "916-786-2715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "W",
        "middle_name": "RANDY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2013-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "CA",
            "license": "G55146",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "G55146",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G551460",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WALTER",
            "last_name": "MARTIN",
            "middle_name": "RANDOLPH",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Pamela S Martell, M.D.
• Brett Martin, D.D.S
• Diane M Martin, MFT
• Julia Faith Louise Martin, BIRTH DOULA
• Samuel Martin
• Heather Elaine Martine, PTA
• Mary Martineau, MS
• Lori Martinez-Rubio
• Abigail Adrienne Martinez, M.A./AMFT
• Alyssa Ann Martinez, LMFT

• Pulmonary Disease Physician in Roseville, CA
• Providers in Roseville, CA by specialty
• Pulmonary Disease Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2013; 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.

Verify at the official NPI Registry.