Active NPI
Martin Joseph Clements, MD
- Obstetrics & Gynecology Physician
- Edgewood, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 40868
- Practice address
- 1 Medical Village Dr
Edgewood, KY 41017 - Phone
- (859) 301-2440
- Fax
- (859) 301-2493
- NPI assigned
- Jun 3, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 40868 | KY | |
| Family Medicine Physician | 207Q00000X | MD00049231 | WA | |
| Obstetrics & Gynecology Physician | 207V00000X | 40868 | KY | Primary |
Addresses
Primary practice location
1 Medical Village Dr
Edgewood, KY 41017
Mailing address
PO Box 635283
Cincinnati, OH 45263-5283
Phone (859) 301-2440
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0083643 | Medicaid | OH | |
| 8511248 | Medicaid | WA | |
| 201178670 | Medicaid | IN | |
| 7100029610 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- 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 CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 93.01 of 100
- Quality
- 86.02
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40868 | KY | MD | Family Medicine Physician |
| MD00049231 | WA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summit Medical Group, Inc | Family Medicine | Current | Accepting new patients |
| Summit Medical Group, Inc. | Current | Accepting new patients | |
| Lake Chelan Clinic, P.C. | Past | Accepting new patients | |
| St Elizabeth Medical Center, Inc | Past | Accepting new patients |
Locations
6105 1st Financial Dr
Burlington, KY 41005
Phone (859) 525-1846
334 Thomas More Pkwy
Crestview Hills, KY 41017
Phone (859) 331-6065
20 Medical Village Dr
Edgewood, KY 41017
Phone (859) 344-1600
1 Medical Village Dr
Edgewood, KY 41017
Phone (859) 301-2000
2300 Chamber Center Dr
Ste 300
Lakeside Park, KY 41017
300 Barnes Rd
Williamstown, KY 41097
Phone (859) 824-8217
Interoperability endpoints
- mclements152049@direct-prd.stelizabeth.com
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Erlanger, KY
- NPI 1750343216
-
- Foot & Ankle Surgery Podiatrist
- Crestview Hills, KY
- NPI 1043188378
-
- General Acute Care Hospital
- Edgewood, KY
- NPI 1467492421
-
- Clinic/Center
- Chelan, WA
- NPI 1750571758
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180828800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620604800000",
"number": "1306048384",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 635283",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452635283",
"telephone_number": "859-301-2440",
"fax_number": "859-301-2493"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 MEDICAL VILLAGE DR",
"city": "EDGEWOOD",
"state": "KY",
"postal_code": "41017",
"telephone_number": "859-301-2440",
"fax_number": "859-301-2493"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLEMENTS",
"first_name": "MARTIN",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-03",
"last_updated": "2021-05-10",
"certification_date": "2021-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "KY",
"license": "40868",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WA",
"license": "MD00049231",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "KY",
"license": "40868",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0083643",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8511248",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201178670",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100029610",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Edgewood, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2021; 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.