NPIMap

Individual provider Active NPI

Edward W Martin, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Pawtucket, RI
National Provider Identifier
1194715060
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
6370 Issued in RI
Practice address
169 George St
Pawtucket, RI 02860-3853
Phone
(401) 727-7070
NPI assigned
Oct 24, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 6370 RI Primary

Addresses

Primary practice location

169 George St
Pawtucket, RI 02860-3853

Mailing address

28 12TH Ave
Warwick, RI 02886-8430
Phone (401) 739-7551

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091001000209 RI Practitioner - Geriatric MedicinePractitioner - Internal Medicine 3870494404 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Geriatric MedicineAlso: Internal Medicine
Education
Warren Alpert Medical School of Brown University, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1085 N Main St
Providence, RI 02904-5719
Phone (401) 415-4275

164 Summit Ave
Providence, RI 02906-2853
Phone (401) 793-2500

225 Elmwood Ave
Providence, RI 02907-1461
Phone (401) 272-0600

593 Eddy St
Providence, RI 02903-4923
Phone (401) 444-4000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6370RIMDGeriatric Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hopehealth Hospice & Palliative Care CurrentSince Apr 2, 2009 Accepting new patients
Hopehealth Hospice & Palliative Care Current Accepting new patients
Hopehealth Hospice & Palliative Care CurrentSince Apr 2, 2009 Accepting new patients
Lifespan Corp Lfspn Dsi Dba Hospice of Ri Past Accepting new patients

Locations

1085 N Main St
Providence, RI 02904
Phone (401) 415-4200

Interoperability endpoints

  • Direct secure messaging: edwardmartin@hopehealth.netsmartdirect.net

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Hopehealth Hospice & Palliative CareProvidence, RI, CCN 411500 Hospice W-2 Managing Employee
Operational/Managerial Control		 Sep 2, 2008
Sep 2, 2008
Hopehealth Hospice & Palliative CareAttleboro, MA, CCN 221512 Hospice W-2 Managing Employee
Operational/Managerial Control		 Sep 2, 2008
Sep 2, 2008

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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 6

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": "1130112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1194715060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 12TH AVE",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028868430",
            "telephone_number": "401-739-7551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "169 GEORGE ST",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028603853",
            "telephone_number": "401-727-7070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "EDWARD",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-24",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "RI",
            "license": "6370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pawtucket, RI

Sources for this page

Verify at the official NPI Registry.