Individual provider Active NPI

David L Martineau, D.O.

  • Diagnostic Radiology Physician
  • Germantown, TN
National Provider Identifier
1184935447
Registry record updated Jun 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
3045 Issued in TN
Practice address
7600 Wolf River Blvd
Ste 200
Germantown, TN 38138-1784
Phone
(901) 747-1000
NPI assigned
Jul 1, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 3045 TN Primary
Student in an Organized Health Care Education/Training Program 390200000X
Diagnostic Radiology Physician 2085R0202X DO.1505 AL

Addresses

Primary practice location

7600 Wolf River Blvd
Ste 200
Germantown, TN 38138-1784

Mailing address

PO Box 5083
Memphis, TN 38101-5083
Phone (901) 383-9437

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, TN, AR3 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
I20160622000565 MS Practitioner - Diagnostic Radiology 2163713124 Reassigns benefits to 1 organization
I20160801000979 TN Practitioner - Diagnostic Radiology 2163713124 Reassigns benefits to 2 organizations
I20171121001950 AR Practitioner - Diagnostic Radiology 2163713124 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mid-South Imaging and Therapeutics, P.a.Group PAC ID 9133106396, 69 clinicians
West Tennessee Imaging LLCGroup PAC ID 3173834215, 37 clinicians

Practice addresses (Care Compare)

1111 Windover Rd
Jonesboro, AR 72401-6159
Phone (870) 935-5432

1500 W Poplar
Collierville, TN 38017-0601
Phone (901) 850-2128

3001 Apache Dr
Suite a
Jonesboro, AR 72401-7432
Phone (870) 936-8000

3001 Apache Dr
Suite B
Jonesboro, AR 72401-7447
Phone (870) 936-8000

3003 Apache Dr
Jonesboro, AR 72401-7432
Phone (870) 931-8800

4800 E Johnson Ave
Jonesboro, AR 72405-8413
Phone (870) 936-1020

555 Perkins Ext
Suite 100
Memphis, TN 38117-4413
Phone (800) 475-3698

6019 Walnut Grove Rd
Memphis, TN 38120-2113
Phone (901) 227-9000

6325 Humphreys Blvd
Memphis, TN 38120-2300
Phone (901) 522-7700

7600 Wolf River Blvd
Germantown, TN 38138-1785
Phone (901) 312-4033

7601 Southcrest Pkwy
Southaven, MS 38671-4739
Phone (901) 383-9478

8000 Centerview Pkwy
Suite 101
Cordova, TN 38018-4225
Phone (901) 747-1111

8040 Wolf River Blvd
Suite 200
Germantown, TN 38138-1775
Phone (901) 747-1000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DO.1505ALMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Arkansas Clinic Charitable Foundation, Inc. CurrentSince Mar 6, 2018 Accepting new patients
West Tennessee Imaging, LLC Diagnostic Radiology CurrentSince Jul 1, 2016 Accepting new patients
Northeast Arkansas Clinic Charitable Foundation, Inc. CurrentSince Mar 6, 2018 Accepting new patients

Locations

4802 E Johnson Ave
Jonesboro, AR 72405
Phone (901) 227-9820

4800 E Johnson Ave
Jonesboro, AR 72405
Phone (870) 732-2100

1111 Windover Rd
Jonesboro, AR 72401
Phone (870) 935-5432

7600 Wolf River Blvd
Ste 200
Memphis, TN 38138
Phone (901) 747-1000

6019 Walnut Grove Rd
Memphis, TN 38120
Phone (901) 226-3190

7600 Wolf River Blvd
Ste 100
Memphis, TN 38138
Phone (901) 312-4033

7600 Wolf River Blvd
Memphis, TN 38138
Phone (615) 550-6049

Interoperability endpoints

  • Direct secure messaging: dmartineau78823@direct.bmhcc.org

Organizations & group practices 4

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.

Hospital & facility affiliations 5

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": "1277942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465948800000",
    "number": "1184935447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5083",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381015083",
            "telephone_number": "901-383-9437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7600 WOLF RIVER BLVD",
            "address_2": "STE 200",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381381784",
            "telephone_number": "901-747-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEAU",
        "first_name": "DAVID",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-01",
        "last_updated": "2016-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TN",
            "license": "3045",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AL",
            "license": "DO.1505",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Germantown, TN

Sources for this page

Verify at the official NPI Registry.