Individual provider Active NPI

Pierre Thomas Martin, MD

  • Otolaryngology Physician
  • Suffolk, VA
National Provider Identifier
1225010143
Registry record updated Mar 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
0101240884 Issued in VA
Practice address
5818 Harbour View Blvd
Suite 230
Suffolk, VA 23435-3315
Phone
(757) 673-6118
Fax
(757) 967-9003
NPI assigned
Nov 16, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 0101240884 VA Primary

Addresses

Primary practice location

5818 Harbour View Blvd
Suite 230
Suffolk, VA 23435-3315

Mailing address

860 Omni Blvd Ste 128
Newport News, VA 23606-4430
Phone (757) 232-8769

Other practice location 1

802 Lockwood Ave Ste C
Newport News, VA 23602-4479
Phone (757) 367-8027

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20070430000472 VA Practitioner - Otolaryngology 5395636054 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
State University of New York at Buffalo School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Riverside Physician Services IncGroup PAC ID 5092608448, 793 clinicians

Practice addresses (Care Compare)

1030 Champions Way
Suffolk, VA 23435-3914
Phone (757) 673-6118

2 Bernadine Dr
Newport News, VA 23602-4404
Phone (757) 886-6877

4125 Ironbound Rd
Suite 200
Williamsburg, VA 23188-2666
Phone (757) 345-2829

5424 Discovery Park Blvd
Williamsburg, VA 23188-2862

860 Omni Blvd
Newport News, VA 23606-4430

895 City Ctr Blvd
Suite 152
Newport News, VA 23606-3080
Phone (757) 599-5505

Hospital & facility affiliations

  • Bon Secours Maryview Medical Center Hospital, Portsmouth, VA, CCN 490017
  • Mary Immaculate Hospital Hospital, Newport News, VA, CCN 490041
  • Riverside Regional Medical Center Hospital, Newport News, VA, CCN 490052
  • Bon Secours Harbour View Medical Center Hospital, Suffolk, VA, CCN 490148
  • Sentara Obici Hospital Hospital, Suffolk, VA, CCN 490044

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Riverside Physician Services Inc Current Accepting new patients
Tidewater Physicians Multispecialty Group PC CurrentSince Sep 1, 2014 Accepting new patients
Tidewater Physicians Multispecialty Group PC CurrentSince Sep 1, 2014 Accepting new patients

Locations

860 Omni Blvd
Newport News, VA 23606
Phone (757) 369-8138

860 Omni Blvd
Ste 105
Newport News, VA 23606
Phone (757) 873-0952

729 Thimble Shoals Blvd
Newport News, VA 23606
Phone (757) 874-1077

856 J Clyde Morris Blvd
Ste A
Newport News, VA 23601
Phone (757) 316-5900

860 Omni Blvd
Ste 113
Newport News, VA 23606
Phone (757) 327-0657

860 Omni Blvd
Ste 303
Newport News, VA 23606
Phone (757) 232-8777

827 Diligence Dr
Ste 100
Newport News, VA 23606

860 Omni Blvd
Ste 128
Newport News, VA 23606

802 Lockwood Ave
Ste C
Newport News, VA 23602
Phone (757) 367-8027

1030 Champions Way
Suffolk, VA 23435
Phone (757) 673-6118

1020 Bon Secours Dr
Ste 220
Suffolk, VA 23435
Phone (757) 673-6118

Interoperability endpoints

  • Direct secure messaging: pmartin63441@direct.rivhs.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/BGFHDD

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 and National Provider Directory roles.

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1132099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680048000000",
    "number": "1225010143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "860 OMNI BLVD STE 128",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236064430",
            "telephone_number": "757-232-8769",
            "fax_number": "757-232-8875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5818 HARBOUR VIEW BLVD",
            "address_2": "SUITE 230",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234353315",
            "telephone_number": "757-673-6118",
            "fax_number": "757-967-9003"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "802 Lockwood Ave Ste C",
            "address_purpose": "LOCATION",
            "city": "Newport News",
            "state": "VA",
            "postal_code": "236024479",
            "country_code": "US",
            "telephone_number": "757-367-8027",
            "fax_number": "757-243-8412",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "PIERRE",
        "middle_name": "THOMAS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-16",
        "last_updated": "2023-03-29",
        "certification_date": "2023-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "VA",
            "license": "0101240884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Suffolk, VA

Sources for this page

Verify at the official NPI Registry.