Active NPI
Patrick D Martin, MD
- Critical Care Medicine (Internal Medicine) Physician
- Alexandria, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine (Internal Medicine) Physician
- License
- 330480
- Practice address
- 3330 Masonic Dr
Alexandria, LA 71301-3841 - Phone
- (318) 483-4090
- NPI assigned
- Jan 24, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 6851434-1205 | UT | |
| Internal Medicine Physician | 207R00000X | MD2009-0545 | NM | |
| Internal Medicine Physician | 207R00000X | 330480 | LA | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 15618 | ND | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | ME139631 | FL | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 330480 | LA | Primary |
Addresses
Primary practice location
3330 Masonic Dr
Alexandria, LA 71301-3841
Mailing address
3330 Masonic Dr
Alexandria, LA 71301-3841
Other practice location 1
1700 S 23rd St
Fort Pierce, FL 34950-4803
Phone (772) 461-4000
Other practice location 2
86 W Underwood St
Orlando Health
Orlando, FL 32806-1110
Phone (321) 843-5172
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ND, LA, MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- University of New Mexico School of Medicine, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 Mercy Way
Mercy Clinic Joplin Hospitalists
Joplin, MO 64804-4524
Phone (417) 556-3754
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD2004-0503 | NM | MD | Hospice and Palliative Medicine (Family Medicine) Physician |
| MD2009-0545 | NM | MD | Internal Medicine Physician |
| 6851434-1205 | UT | MD | Internal Medicine Physician |
| 15618 | ND | MD | Critical Care Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Clinic Joplin LLC | Family Medicine | Current | Accepting new patients |
| Christus Trinity Clinic Texas | Current | Accepting new patients | |
| Altru Health System | Family Medicine | Current | Accepting new patients |
| St. Alexius Medical Center | Current | Accepting new patients | |
| Altru Health System | Current | Accepting new patients | |
| Christus Trinity Clinic Texas | Family Medicine | Current | Accepting new patients |
| St Alexius Medical Center | Current | Accepting new patients | |
| Mercy Hospital Joplin | Past | Accepting new patients |
Locations
3330 Masonic Dr
Alexandria, LA 71301
Phone (318) 448-6917
1453 E Bert Kouns Industrial Loop
Shreveport, LA 71105
Phone (318) 681-4138
100 Mercy Way
Joplin, MO 64804
Phone (417) 556-2300
900 E Broadway Ave
Bismarck, ND 58501
Phone (701) 530-7300
1380 S Columbia Rd
Grand Forks, ND 58201
Phone (701) 795-2000
1300 S Columbia Rd
Grand Forks, ND 58201
Phone (701) 780-2300
2401 Demers Ave
Grand Forks, ND 58201
Phone (701) 780-1891
Interoperability endpoints
- patrick.martin@hca4.eclinicaldirectplus.com
Organizations & group practices 8
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.
-
- Family Medicine Physician
- Joplin, MO
- NPI 1215264817
-
dba Altru 1300 Columbia
- Clinic/Center
- Grand Forks, ND
- NPI 1043309552
Family Medicine
-
dba Christus Trinity Clinic
- Family Medicine Physician
- Tyler, TX
- NPI 1285684225
LA
-
dba CHI St. Alexius Health Clinics
- Specialist
- Bismarck, ND
- NPI 1205868429
-
dba Christus Trinity Clinic
- Rural Health Clinic/Center
- Winnsboro, TX
- NPI 1801673165
-
dba CHI St. Alexius Health
- Home Infusion Therapy Pharmacy
- Bismarck, ND
- NPI 1063663607
-
- General Acute Care Hospital
- Joplin, MO
- NPI 1700112745
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Labette Health
- General Acute Care Hospital
- Parsons, KS
- NPI 1578560421
-
- General Acute Care Hospital
- Joplin, MO
- NPI 1700112745
-
- General Acute Care Hospital
- Pittsburg, KS
- NPI 1639921430
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652745600000",
"number": "1205013919",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3330 MASONIC DR",
"city": "ALEXANDRIA",
"state": "LA",
"postal_code": "713013841"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3330 MASONIC DR",
"city": "ALEXANDRIA",
"state": "LA",
"postal_code": "713013841",
"telephone_number": "318-483-4090"
}
],
"practiceLocations": [
{
"address_1": "1700 S 23rd St",
"address_purpose": "LOCATION",
"city": "Fort Pierce",
"state": "FL",
"postal_code": "349504803",
"country_code": "US",
"telephone_number": "772-461-4000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "86 W Underwood St",
"address_2": "Orlando Health",
"address_purpose": "LOCATION",
"city": "Orlando",
"state": "FL",
"postal_code": "328061110",
"country_code": "US",
"telephone_number": "321-843-5172",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARTIN",
"first_name": "PATRICK",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-01-24",
"last_updated": "2022-05-17",
"certification_date": "2022-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "UT",
"license": "6851434-1205",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NM",
"license": "MD2009-0545",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "LA",
"license": "330480",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "ND",
"license": "15618",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "FL",
"license": "ME139631",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "LA",
"license": "330480",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Alexandria, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2022; 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.