Individual provider Active NPI

George L Martin, MD

  • Allergy & Immunology Physician
  • Wynnewood, PA
National Provider Identifier
1225051337
Registry record updated Nov 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
MD019289E Issued in PA
Practice address
100 E Lancaster Ave
Lankenau Medical Building Suite 237 West
Wynnewood, PA 19096-3451
Phone
(610) 649-9300
Fax
(610) 896-4617
NPI assigned
Jul 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X MD019289E PA Primary

Addresses

Primary practice location

100 E Lancaster Ave
Lankenau Medical Building Suite 237 West
Wynnewood, PA 19096-3451

Mailing address

100 E Lancaster Ave
Lankenau Medical Building Suite 237 West
Wynnewood, PA 19096-3451
Phone (610) 649-9300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20100511000566 PA Practitioner - Allergy/Immunology 5092850800 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
University of Chicago, Pritzker School of Medicine, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
George L Martin MD PCGroup PAC ID 0345225629, 2 clinicians

Practice addresses (Care Compare)

100 E Lancaster Ave
Wynewood, PA 19096-3450
Phone (610) 649-9300

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.53 of 100Reported as individual
Quality
100
Improvement activities
40
Cost
71.75

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue12

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
George L Martin MD PC CurrentSince Oct 5, 1979 Accepting new patients

Locations

841 Garrett Rd
Upper Darby, PA 19082
Phone (610) 652-3323

100 E Lancaster Ave
Ste 237
Wynnewood, PA 19096

100 E Lancaster Ave
Ste 115
Wynnewood, PA 19096

100 E Lancaster Ave
Ste W237
Wynnewood, PA 19096
Phone (610) 649-9300

100 E Lancaster Ave
Ste 237W
Wynnewood, PA 19096
Phone (610) 649-9300

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FIIBCA/Endpoint/FIIBCA

Organizations & group practices 1

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 7

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": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541548800000",
    "number": "1225051337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E LANCASTER AVE",
            "address_2": "LANKENAU MEDICAL BUILDING SUITE 237 WEST",
            "city": "WYNNEWOOD",
            "state": "PA",
            "postal_code": "190963451",
            "telephone_number": "610-649-9300",
            "fax_number": "610-896-4617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E LANCASTER AVE",
            "address_2": "LANKENAU MEDICAL BUILDING SUITE 237 WEST",
            "city": "WYNNEWOOD",
            "state": "PA",
            "postal_code": "190963451",
            "telephone_number": "610-649-9300",
            "fax_number": "610-896-4617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "GEORGE",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2018-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "PA",
            "license": "MD019289E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wynnewood, PA

Sources for this page

Verify at the official NPI Registry.