Individual provider Active NPI

Steven Norman Martin, M.D.

  • Family Medicine Physician
  • Cleburne, TX
National Provider Identifier
1215974787
Registry record updated Feb 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
E1040 Issued in TX
Practice address
805 N Main St
Cleburne, TX 76033-3816
Phone
(817) 202-3976
Fax
(817) 202-3978
NPI assigned
Jun 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X E1040 TX Primary

Addresses

Primary practice location

805 N Main St
Cleburne, TX 76033-3816

Mailing address

3517 SW Wilshire Blvd
Joshua, TX 76058-6159
Phone (817) 447-1151

Other identifiers 2

IdentifierTypeStateIssuer
139470218MedicaidTX
2L2927OtherTXTRADITIONAL MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20100428000169 TX Practitioner - Family PracticePractitioner - Emergency Medicine 9537156559 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Texas Medical Branch at Galveston, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McDavid M Mahaffey MD PAGroup PAC ID 0648678375, 4 clinicians

Practice addresses (Care Compare)

805 N Main St
Cleburne, TX 76033-3816
Phone (817) 202-3976

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cleburne Family Medicine Associates, PLLC Family Medicine CurrentSince Feb 1, 2019 Accepting new patients
McDavid M. Mahaffey, M.D., P.a. Family Medicine CurrentSince Sep 15, 2022 Accepting new patients
Emcare DFW Emergency Physicians PLLC Past Accepting new patients

Locations

805 N Main St
Cleburne, TX 76033
Phone (817) 202-3976

209 Saint Louis Ave
Fort Worth, TX 76104
Phone (713) 907-6507

3517 SW Wilshire Blvd
Joshua, TX 76058
Phone (817) 292-8585

Interoperability endpoints

  • Direct secure messaging: steven.martin.1@24667.direct.athenahealth.com
  • Direct secure messaging: steven.martin.1@27538.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/24667/brand/1/csg/1/fhir/r4

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675728000000",
    "number": "1215974787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3517 SW WILSHIRE BLVD",
            "city": "JOSHUA",
            "state": "TX",
            "postal_code": "760586159",
            "telephone_number": "817-447-1151",
            "fax_number": "817-529-8927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 N MAIN ST",
            "city": "CLEBURNE",
            "state": "TX",
            "postal_code": "760333816",
            "telephone_number": "817-202-3976",
            "fax_number": "817-202-3978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "STEVEN",
        "middle_name": "NORMAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-01",
        "last_updated": "2023-02-07",
        "certification_date": "2023-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "E1040",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "139470218",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRADITIONAL MEDICARE",
            "identifier": "2L2927",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleburne, TX

Sources for this page

Verify at the official NPI Registry.