NPIMap

Individual provider Active NPI

Martin Lee Chambers, MD

  • Internal Medicine Physician
  • Punxsutawney, PA
National Provider Identifier
1235179540
Registry record updated Mar 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD042709L Issued in PA
Practice address
200 E Mahoning St
Ste 1
Punxsutawney, PA 15767-2045
Phone
(814) 938-0422
Fax
(814) 938-0424
NPI assigned
Jun 7, 2006
Last updated
Mar 28, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 28, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD042709L PA Primary

Addresses

Primary practice location

200 E Mahoning St
Ste 1
Punxsutawney, PA 15767-2045

Mailing address

200 E Mahoning Street
Suite 1
Punxsutawney, PA 15767
Phone (814) 938-0422

Other identifiers 5

IdentifierTypeStateIssuer
306683OtherPAHEALTH ASSURANCE
P000959OtherPAGATEWAY INDIVIDUAL
010165200OtherPABLACK LUNG
001259184 0006MedicaidPA
217749OtherPAUPMC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100721000563 PA Practitioner - Internal Medicine 0345372660 Practice locations: Punxsutawney, PA

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Pennsylvania State University College of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Keystone Rehabilitation Systems IncGroup PAC ID 7012826753, shared by 15 NPIs, 750 clinicians

Practice addresses (Care Compare)

205 Hampton Ave
Punxsutawney, PA 15767-2133
Phone (814) 938-0148

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD042709LPAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Punxsutawney Area Hospital Inc Current Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Punxsutawney Area Hospital Inc Past Accepting new patients

Locations

81 Hillcrest Dr
Punxsutawney, PA 15767
Phone (814) 938-1800

Interoperability endpoints

  • Direct secure messaging: mchambers@direct.pah.org

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.

Hospital & facility affiliations 30

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

View all 30

NPI Registry JSON

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553731200000",
    "number": "1235179540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E MAHONING STREET",
            "address_2": "SUITE 1",
            "city": "PUNXSUTAWNEY",
            "state": "PA",
            "postal_code": "15767",
            "telephone_number": "814-938-0422",
            "fax_number": "814-938-0424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E MAHONING ST",
            "address_2": "STE 1",
            "city": "PUNXSUTAWNEY",
            "state": "PA",
            "postal_code": "157672045",
            "telephone_number": "814-938-0422",
            "fax_number": "814-938-0424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAMBERS",
        "first_name": "MARTIN",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2019-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD042709L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH ASSURANCE",
            "identifier": "306683",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY INDIVIDUAL",
            "identifier": "P000959",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLACK LUNG",
            "identifier": "010165200",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001259184 0006",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPMC",
            "identifier": "217749",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Punxsutawney, PA

Sources for this page

Verify at the official NPI Registry.