Individual provider Active NPI

David V. Martini, M.D., P.A.

  • Otolaryngology Physician
  • Bismarck, ND
National Provider Identifier
1235170572
Registry record updated Mar 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
22023 Issued in ND
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

Updated by the provider on Mar 31, 2025

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
405979400OtherMDGROUP MEDICAID ID
1508811928OtherDEGROUP MEDICAID ID
500M759FOtherMDINDIVIDUAL MEDICARE PTAN
248474YJQXOtherDEINDIVIDUAL MEDICARE PTAN
1235170572OtherDEINDIVIDUAL MEDICAID ID
248471OtherDEGROUP MEDICARE PTAN
500MOtherMDGROUP MEDICARE PTAN
80480OtherGAMEDICAL LICENSE
512502200OtherMDINDIVIDUAL MEDICAID ID
P00209459OtherMDMEDICARE 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180919002507 GA Practitioner - OtolaryngologyPractitioner - Plastic and Reconstructive Surgery 8921092552 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
OtolaryngologyAlso: Plastic and Reconstructive Surgery
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Crisp Regional Hospital IncGroup PAC ID 5991616336, 65 clinicians

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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine, Physician Assistant

State licenses

LicenseStateTypeSpecialty
80480GAMDOtolaryngology Physician
22023NDMDOtolaryngology Physician
D0059096MDMDPlastic and Reconstructive Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Westside Surgery Center, LLC Otolaryngology CurrentSince Jul 1, 2018 Accepting new patients
Chesapeake ENT/Plastic Facial Surgery Current Accepting new patients
Ear, Nose and Throat Clinic of Coffee Co. CurrentSince Jul 1, 2018 Accepting new patients
Crisp Regional Hospital, Inc CurrentSince Nov 20, 2025 Accepting new patients
Crisp Regional Hospital Inc CurrentSince Nov 20, 2025 Accepting new patients
New Health of North East, LLC PastSince Feb 13, 2019 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 2

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": "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

Verify at the official NPI Registry.