Active NPI
David V. Martini, M.D., P.A.
- Otolaryngology Physician
- Bismarck, ND
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 22023
- Practice address
- 701 E Rosser Ave
Bismarck, ND 58501-4457 - Phone
- (701) 323-8550
- NPI assigned
- Jun 9, 2006
- 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 |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | C1-0006640 | DE | |
| Otolaryngology Physician | 207Y00000X | D0059096 | MD | |
| Otolaryngology Physician | 207Y00000X | 80480 | GA | |
| Plastic and Reconstructive Surgery Physician | 2086S0122X | C1-0006640 | DE | |
| Plastic and Reconstructive Surgery Physician | 2086S0122X | D0059096 | MD | |
| Otolaryngology Physician | 207Y00000X | 22023 | ND | Primary |
Addresses
Primary practice location
701 E Rosser Ave
Bismarck, ND 58501-4457
Mailing address
PO Box 5074
Sioux Falls, SD 57117-5074
Phone (605) 328-9419
Other practice location 1
1703 Boulevard Sq
Waycross, GA 31501-8024
Phone (912) 384-2200
Other practice location 2
2016 Pineview Ave
Tifton, GA 31794-3035
Phone (912) 384-2200
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 405979400 | Other | MD | GROUP MEDICAID ID |
| 1508811928 | Other | DE | GROUP MEDICAID ID |
| 500M759F | Other | MD | INDIVIDUAL MEDICARE PTAN |
| 248474YJQX | Other | DE | INDIVIDUAL MEDICARE PTAN |
| 1235170572 | Other | DE | INDIVIDUAL MEDICAID ID |
| 248471 | Other | DE | GROUP MEDICARE PTAN |
| 500M | Other | MD | GROUP MEDICARE PTAN |
| 80480 | Other | GA | MEDICAL LICENSE |
| 512502200 | Other | MD | INDIVIDUAL MEDICAID ID |
| P00209459 | Other | MD | MEDICARE RAILROAD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
902 N 7TH St
Cordele, GA 31015-3234
Phone (229) 276-3100
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine, Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 80480 | GA | MD | Otolaryngology Physician |
| 22023 | ND | MD | Otolaryngology Physician |
| D0059096 | MD | MD | Plastic and Reconstructive Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Westside Surgery Center, LLC | Otolaryngology | Current | Accepting new patients |
| Chesapeake ENT/Plastic Facial Surgery | Current | Accepting new patients | |
| Ear, Nose and Throat Clinic of Coffee Co. | Current | Accepting new patients | |
| Crisp Regional Hospital, Inc | Current | Accepting new patients | |
| Crisp Regional Hospital Inc | Current | Accepting new patients | |
| New Health of North East, LLC | Past | Accepting new patients | |
| Canonico Ear, Nose and Throat, P.C. | Past | Accepting new patients |
Locations
902 N 7th St
Cordele, GA 31015
Phone (229) 276-3100
312 Westside Dr
Douglas, GA 31533
Phone 9123842200222
314 Westside Dr
Douglas, GA 31533
2016 Pineview Ave
Tifton, GA 31794
Phone (229) 387-9205
1703 Boulevard Sq
Waycross, GA 31501
111 W High St
Ste 303
Elkton, MD 21921
Phone (410) 392-2380
Interoperability endpoints
- dmartini@directaddress.net
Organizations & group practices 7
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.
-
dba Crisp Regional Hospital
- General Acute Care Hospital
- Cordele, GA
- NPI 1700851649
-
- Specialist
- Douglas, GA
- NPI 1891750774
-
- Ambulatory Surgical Clinic/Center
- Douglas, GA
- NPI 1013158948
Otolaryngology
-
- Audiologist
- Elkton, MD
- NPI 1811139900
-
dba Crisp Regional LTC Pharmacy
- Long Term Care Pharmacy
- Cordele, GA
- NPI 1679836142
-
- Plastic Surgery within the Head & Neck (Otolaryngology) Physician
- Tullahoma, TN
- NPI 1932177805
-
- Specialist
- Elkton, MD
- NPI 1730663774
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Crisp Regional Hospital
- General Acute Care Hospital
- Cordele, GA
- NPI 1700851649
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743379200000",
"number": "1235170572",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5074",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571175074",
"telephone_number": "605-328-9419",
"fax_number": "410-620-1538"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 E ROSSER AVE",
"city": "BISMARCK",
"state": "ND",
"postal_code": "585014457",
"telephone_number": "701-323-8550"
}
],
"practiceLocations": [
{
"address_1": "1703 Boulevard Sq",
"address_purpose": "LOCATION",
"city": "Waycross",
"state": "GA",
"postal_code": "315018024",
"country_code": "US",
"telephone_number": "912-384-2200",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2016 Pineview Ave",
"address_purpose": "LOCATION",
"city": "Tifton",
"state": "GA",
"postal_code": "317943035",
"country_code": "US",
"telephone_number": "912-384-2200",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARTINI",
"first_name": "DAVID",
"middle_name": "V.",
"credential": "M.D., P.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-09",
"last_updated": "2025-03-31",
"certification_date": "2025-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "DE",
"license": "C1-0006640",
"primary": false
},
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "MD",
"license": "D0059096",
"primary": false
},
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "GA",
"license": "80480",
"primary": false
},
{
"code": "2086S0122X",
"taxonomy_group": "",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": "DE",
"license": "C1-0006640",
"primary": false
},
{
"code": "2086S0122X",
"taxonomy_group": "",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": "MD",
"license": "D0059096",
"primary": false
},
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "ND",
"license": "22023",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP MEDICAID ID",
"identifier": "405979400",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP MEDICAID ID",
"identifier": "1508811928",
"state": "DE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIVIDUAL MEDICARE PTAN",
"identifier": "500M759F",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIVIDUAL MEDICARE PTAN",
"identifier": "248474YJQX",
"state": "DE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIVIDUAL MEDICAID ID",
"identifier": "1235170572",
"state": "DE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP MEDICARE PTAN",
"identifier": "248471",
"state": "DE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP MEDICARE PTAN",
"identifier": "500M",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "80480",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIVIDUAL MEDICAID ID",
"identifier": "512502200",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "P00209459",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bismarck, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2025; 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.