Active NPI
Martina Laetitia Mustroph, M.D., PH.D.
- Neurological Surgery Physician
- Atlanta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- V9671
- Practice address
- Department of Neurosurgery 1365 Clifton Road
Atlanta, GA 30322-0001 - Phone
- (404) 993-2808
- NPI assigned
- Mar 27, 2017
- Last updated
- Jul 14, 2025
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | 292143 | MA | |
| Neurological Surgery Physician | 207T00000X | 99696 | GA | |
| Neurological Surgery Physician | 207T00000X | V9671 | TX | Primary |
Addresses
Primary practice location
Department of Neurosurgery 1365 Clifton Road
Atlanta, GA 30322-0001
Mailing address
415 8TH St NE Apt 2
Atlanta, GA 30309-4218
Phone (404) 993-2808
Other practice location 1
910 E Houston St Ste 330
Tyler, TX 75702-8368
Phone (903) 606-7995
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Neurosurgery
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
101 Medical PLZ
Sulphur Springs, TX 75482-2136
Phone (903) 885-6534
103 B Medical PLZ
Sulphur Springs, TX 75482-2136
Phone (903) 885-6688
105 Medical PLZ
Sulphur Springs, TX 75482-2136
Phone (903) 885-3181
2026 S Jackson St
Jacksonville, TX 75766-5822
Phone (903) 541-4599
3201 S Loop
Palestine, TX 75801-6901
620 S Fleishel Ave
Christus Trinity Clinic
Tyler, TX 75701-2041
Phone (903) 606-4900
630 S Fleishel Ave
Tyler, TX 75701-2041
Phone (903) 606-5560
650 E Lennon Dr
Christus Trinity Clinic
Emory, TX 75440-3227
Phone (903) 473-7234
800 E Dawson St
Christus Trinity Clinic
Tyler, TX 75701-2036
Phone (903) 510-1186
910 E Houston St
Tyler, TX 75702-8364
Hospital & facility affiliations
- Christus Mother Frances Hospital
- Christus Mother Frances Hospital Sulphur Springs
- Christus Good Shepherd Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.51 of 100
- Quality
- 80.61
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 104 |
| Laminectomy or laminotomy (partial removal of spine bones) | 45 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 292143 | MA | MD | Neurological Surgery Physician |
| V9671 | TX | MD | Neurological Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christus Trinity Clinic Texas | Neurological Surgery | Current | Accepting new patients |
| The Emory Clinic Inc | Current | Accepting new patients | |
| Christus Trinity Clinic Texas | Current | Accepting new patients |
Locations
1365 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 778-7525
2201 Henderson Mill Rd NE
Ste 160
Atlanta, GA 30345
Phone (404) 251-2193
630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888
910 E Houston St
Ste 330
Tyler, TX 75702
Phone (903) 510-8718
Interoperability endpoints
- mmustroph613326@christushealth.direct-ci.net
- mmustroph897796@direct.emory.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.
-
dba Christus Trinity Clinic
- Family Medicine Physician
- Tyler, TX
- NPI 1285684225
Neurological Surgery
-
- Internal Medicine Physician
- Atlanta, GA
- NPI 1396798229
-
dba Christus Trinity Clinic
- Rural Health Clinic/Center
- Winnsboro, TX
- NPI 1801673165
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Longview, TX
- NPI 1124092036
-
dba Christus Mother Frances - Sulphur Springs
- General Acute Care Hospital
- Sulphur Springs, TX
- NPI 1033568621
-
dba Christus Mother Frances Hospital Tyler
- General Acute Care Hospital
- Tyler, TX
- NPI 1679578439
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752451200000",
"number": "1295266534",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "415 8TH ST NE APT 2",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303094218",
"telephone_number": "404-993-2808"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "DEPARTMENT OF NEUROSURGERY 1365 CLIFTON ROAD",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303220001",
"telephone_number": "404-993-2808"
}
],
"practiceLocations": [
{
"address_1": "910 E Houston St Ste 330",
"address_purpose": "LOCATION",
"city": "Tyler",
"state": "TX",
"postal_code": "757028368",
"country_code": "US",
"telephone_number": "903-606-7995",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MUSTROPH",
"first_name": "MARTINA",
"middle_name": "LAETITIA",
"credential": "M.D., PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-03-27",
"last_updated": "2025-07-14",
"certification_date": "2025-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "MA",
"license": "292143",
"primary": false
},
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "GA",
"license": "99696",
"primary": false
},
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "TX",
"license": "V9671",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 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.