Individual provider Active NPI

Patrick D Martin, MD

  • Critical Care Medicine (Internal Medicine) Physician
  • Alexandria, LA
National Provider Identifier
1205013919
Registry record updated May 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
330480 Issued in LA
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

Updated by the provider on May 17, 2022

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
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, MO3 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
I20190912000581 ND Practitioner - Critical Care (Intensivists)Practitioner - Internal Medicine 5698813624 Reassigns benefits to 2 organizations
I20220711002513 LA Practitioner - Critical Care (Intensivists) 5698813624 Reassigns benefits to 1 organization
I20240502000330 MO Practitioner - Internal Medicine 5698813624 Reassigns benefits to 1 organization

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
Mercy Clinic Joplin LLCGroup PAC ID 0547300196, 288 clinicians

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

LicenseStateTypeSpecialty
MD2004-0503NMMDHospice and Palliative Medicine (Family Medicine) Physician
MD2009-0545NMMDInternal Medicine Physician
6851434-1205UTMDInternal Medicine Physician
15618NDMDCritical Care Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic Joplin LLC Family Medicine CurrentSince Apr 22, 2024 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Apr 18, 2022 Accepting new patients
Altru Health System Family Medicine CurrentSince Aug 29, 2022 Accepting new patients
St. Alexius Medical Center CurrentSince Jun 29, 2019 Accepting new patients
Altru Health System CurrentSince Aug 29, 2022 Accepting new patients
Christus Trinity Clinic Texas Family Medicine CurrentSince Apr 18, 2022 Accepting new patients
St Alexius Medical Center CurrentSince Jun 29, 2019 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

  • Direct secure messaging: 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.

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": "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

Verify at the official NPI Registry.