Active NPI
Tammy L. Martin, M.D.
- Emergency Medicine Physician
- Ellisville, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- R9H77
- Practice address
- 233 Clarkson Rd
Ellisville, MO 63011-2219 - Phone
- (636) 256-8644
- NPI assigned
- Jul 20, 2006
- Last updated
- Oct 11, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | R9H77 | MO | Primary |
| Internal Medicine Physician | 207R00000X | 2025-01414 | NC |
Addresses
Primary practice location
233 Clarkson Rd
Ellisville, MO 63011-2219
Mailing address
625 S New Ballas Rd
Saint Louis, MO 63141-8253
Phone (314) 993-5454
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- 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
- Emergency Medicine
- Education
- Ohio State University College of Medicine, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1201 S Grand Blvd
Saint Louis, MO 63104-1016
Phone (314) 617-2000
615 S New Ballas Rd
Saint Louis, MO 63141-8221
Phone (636) 251-6000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2025-01414 | NC | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Hospital South | Current | Accepting new patients | |
| Mercy Hospitals East Communities | Current | Accepting new patients | |
| St Louis Pathology Assoc Inc. | Current | Accepting new patients | |
| Physician Specialists of St Lukes LLC | Emergency Medicine | Current | Accepting new patients |
| Mercy Hospitals East Communities | Emergency Medicine | Current | Accepting new patients |
| SSM Health Care Group | Emergency Medicine | Current | Accepting new patients |
| Mercy Hospitals East Communities | Emergency Medicine | Current | Accepting new patients |
| Mercy Hospital South | Emergency Medicine | Current | Accepting new patients |
| Mercy Hospitals East Communities | Current | Accepting new patients | |
| SLH Physicians LLC | Emergency Medicine | Current | Accepting new patients |
| SSM Health Care Group | Current | Accepting new patients | |
| Mercy Hospital Lincoln | Internal Medicine | Current | Accepting new patients |
| Inpatient Consultants of Missouri Inc | Internal Medicine | Past | Accepting new patients |
| Emergency Physicians of St. Luke's, LLC | Emergency Medicine | Past | Accepting new patients |
Locations
233 Clarkson Rd
Ellisville, MO 63011
Phone (636) 256-8644
508 Old Smizer Mill Rd
Fenton, MO 63026
Phone (636) 343-5223
10010 Kennerly Rd
Saint Louis, MO 63128
Phone (314) 525-1328
10101 Woodfield Ln
Saint Louis, MO 63132
Phone (608) 280-4647
1201 S Grand Blvd
Saint Louis, MO 63104
Phone (314) 257-1320
2345 Dougherty Ferry Rd
Saint Louis, MO 63122
Phone (314) 821-5850
3635 Vista Ave
Saint Louis, MO 63110
Phone (314) 577-8022
4005 Ripa Ave
Saint Louis, MO 63125
Phone (314) 544-1111
615 S New Ballas Rd
Saint Louis, MO 63141
Phone (314) 251-4687
625 S New Ballas Rd
Saint Louis, MO 63141
Phone (314) 251-0175
232 S Woods Mill Rd
Town and Country, MO 63017
Phone (314) 205-6030
900 E Cherry St
Troy, MO 63379
Phone (636) 528-8585
901 E 5th St
Washington, MO 63090
Phone (636) 239-8000
Interoperability endpoints
- tmartin26900@direct-ehr-ssmhc.com
Organizations & group practices 14
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 Mercy Hospital St Louis
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1427098169
Emergency Medicine
-
dba SLUCare Physician Group
- Internal Medicine Physician
- Saint Louis, MO
- NPI 1306589544
Emergency Medicine
-
dba Mercy Hospital Washington
- General Acute Care Hospital
- Washington, MO
- NPI 1285664177
Emergency Medicine
-
- Internal Medicine Physician
- Chesterfield, MO
- NPI 1235168410
Emergency Medicine
-
- Emergency Medicine Physician
- Saint Louis, MO
- NPI 1881668051
-
- Medicare Defined Swing Bed Hospital Unit
- Saint Louis, MO
- NPI 1033714209
-
dba Mercy Hospital Washington McAuley Clinic
- Rural Health Clinic/Center
- Washington, MO
- NPI 1104912997
-
dba Mercy St. Louis Transport Ambulance
- Land Ambulance
- Saint Louis, MO
- NPI 1881329902
-
dba SLUCare Physician Group
- Dermatopathology Physician
- Saint Louis, MO
- NPI 1932844495
-
- Anatomic Pathology & Clinical Pathology Physician
- Saint Louis, MO
- NPI 1194778415
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Mercy Hospital St Louis
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1427098169
-
dba Mercy St. Louis Transport Ambulance
- Land Ambulance
- Saint Louis, MO
- NPI 1881329902
Hospital
-
dba SSM Health Saint Louis University Hospital
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1942685920
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1791676800000",
"number": "1245250331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "625 S NEW BALLAS RD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631418253",
"telephone_number": "314-993-5454"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "233 CLARKSON RD",
"city": "ELLISVILLE",
"state": "MO",
"postal_code": "630112219",
"telephone_number": "636-256-8644"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "TAMMY",
"middle_name": "L.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-20",
"last_updated": "2026-10-11",
"certification_date": "2026-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MO",
"license": "R9H77",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NC",
"license": "2025-01414",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ellisville, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2026; 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.