Individual provider Active NPI

Ronald Martin, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Flint, MI
National Provider Identifier
1295762888
Registry record updated Oct 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
5901002147 Issued in MI
Practice address
2329 Stonebridge Dr BLDG E
Flint, MI 48532-5407
Phone
(810) 230-9555
Fax
(810) 230-8858
NPI assigned
Jun 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 5901002147 MI Primary

Addresses

Primary practice location

2329 Stonebridge Dr BLDG E
Flint, MI 48532-5407

Mailing address

2329 Stonebridge Dr BLDG E
Flint, MI 48532-5407
Phone (810) 230-9555

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060505000574 MI Practitioner - Podiatry 1850302811 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2329 Stonebridge Dr
BLDG E
Flint, MI 48532-5407
Phone (810) 230-9955

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.82 of 100Reported as individual
Quality
53.63
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue155
Removal of skin lesions46
Removal of nail tissue1853
Removal or shaving of skin growth191

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5901002147MIMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Shelby Foot & Ankle, PLLC Podiatrist CurrentSince Jul 10, 2010 Accepting new patients
Flint Foot & Ankle PLLC Podiatrist CurrentSince Jun 13, 2019 Accepting new patients
Shelby Foot & Ankle PLLC Foot & Ankle Surgery CurrentSince Jul 10, 2010 Accepting new patients

Locations

4091 W Vienna Rd
Clio, MI 48420
Phone (810) 687-7350

G3302 Beecher Rd
Flint, MI 48532
Phone (810) 230-9955

2329 Stonebridge Dr
Bldg E
Flint, MI 48532
Phone (810) 230-9955

50505 Schoenherr Rd
Ste 230
Shelby Township, MI 48315
Phone (586) 580-3728

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 1

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": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603065600000",
    "number": "1295762888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2329 STONEBRIDGE DR BLDG E",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485325407",
            "telephone_number": "810-230-9555",
            "fax_number": "810-230-8858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2329 STONEBRIDGE DR BLDG E",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485325407",
            "telephone_number": "810-230-9555",
            "fax_number": "810-230-8858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "RONALD",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-27",
        "last_updated": "2020-10-19",
        "certification_date": "2020-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MI",
            "license": "5901002147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

Verify at the official NPI Registry.