Individual provider Active NPI

James C Martin, DO

  • Family Medicine Physician
  • Shelby Township, MI
National Provider Identifier
1285653170
Registry record updated Dec 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5101015387 Issued in MI
Practice address
49310 Van Dyke Ave
Shelby Township, MI 48317-1335
Phone
(586) 731-8900
Fax
(586) 731-7762
NPI assigned
Jul 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 5101015387 MI Primary

Addresses

Primary practice location

49310 Van Dyke Ave
Shelby Township, MI 48317-1335

Mailing address

49310 Van Dyke Ave
Shelby Township, MI 48317-1337
Phone (586) 731-8900

Other identifiers 1

IdentifierTypeStateIssuer
4794907MedicaidMI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jmartin7398@direct.hfhs.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20040927001149 MI Practitioner - Family Practice 8628047644 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Iowa, RJ & L Carver College of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Henry Ford Physician PartnersGroup PAC ID 8921482605, 79 clinicians

Practice addresses (Care Compare)

50505 Schoenherr Rd
Suite 300
Shelby TWP, MI 48315-3141
Phone (586) 726-5566

Hospital & facility affiliations

  • Henry Ford Macomb Hospital Hospital, Clinton Township, MI, CCN 230047
  • Henry Ford Health Hospital Hospital, Detroit, MI, CCN 230053

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5101015387MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Macomb Hospital Corporation Family Medicine CurrentSince Oct 1, 2005 Accepting new patients
Henry Ford Macomb Hospital Corporation CurrentSince Oct 1, 2005 Accepting new patients
Alliance Health Professionals, PLLC CurrentSince Jan 1, 2016 Accepting new patients
Henry Ford Physician Partners CurrentSince Sep 1, 2022 Accepting new patients
Henry Ford Physician Partners Family Medicine CurrentSince Sep 1, 2022 Accepting new patients
Internal Medicine Associates of Mt. Clemens, PC Current Accepting new patients
Henry Ford Macomb Ancillary Services Current Accepting new patients

Locations

2689 Solution Ctr
Chicago, IL 60677

80650 Van Dyke Rd
Bruce Twp, MI 48065
Phone (810) 798-6410

15855 19 Mile Rd
Clinton Twp, MI 48038
Phone (586) 263-2300

15717 15 Mile Rd
Clinton Twp, MI 48035
Phone (586) 285-3800

1 Ford Pl
#2E
Detroit, MI 48202
Phone (313) 874-4688

133 S Main St
Mount Clemens, MI 48043
Phone (586) 329-1880

50505 Schoenherr Rd
Ste 300
Shelby Township, MI 48315
Phone (586) 323-4530

49310 Van Dyke Ave
Shelby Township, MI 48317
Phone (586) 731-8900

35429 Schoenherr Rd
Sterling Hts, MI 48312
Phone (586) 264-4261

Interoperability endpoints

  • Direct secure messaging: jmartin7398@direct.hfhs.org

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608595200000",
    "number": "1285653170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49310 VAN DYKE AVE",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483171337",
            "telephone_number": "586-731-8900",
            "fax_number": "586-731-7762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49310 VAN DYKE AVE",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483171335",
            "telephone_number": "586-731-8900",
            "fax_number": "586-731-7762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "JAMES",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2020-12-22",
        "certification_date": "2020-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101015387",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4794907",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jmartin7398@direct.hfhs.org",
            "affiliation": "N",
            "address_1": "49310 Van Dyke Ave",
            "city": "Shelby Township",
            "state": "MI",
            "country_code": "US",
            "postal_code": "483171335",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Shelby Township, MI

Sources for this page

Verify at the official NPI Registry.