NPIMap

Individual provider Active NPI

Martin J Maassen, M.D.

  • Emergency Medicine Physician
  • West Lafayette, IN
National Provider Identifier
1306865746
Registry record updated Oct 18, 2012
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128b(4) exclusion effective Oct 20, 2025.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
01025400A Issued in IN
Practice address
1340 Fawn Ridge Dr
West Lafayette, IN 47906-4756
Phone
(765) 491-1422
Fax
(765) 742-7258
NPI assigned
Jul 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 01025400A IN Primary

Addresses

Primary practice location

1340 Fawn Ridge Dr
West Lafayette, IN 47906-4756

Mailing address

1340 Fawn Ridge Dr
West Lafayette, IN 47906-4756
Phone (765) 491-1422

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
13945MSMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Sunflower County Hospital Current Accepting new patients
Finest Emergency Physicians Emergency Medicine Past Accepting new patients
Inphynet Primary Care Physicians Midwest, S.C. Emergency Medicine Past Accepting new patients
Statera Health Care, LLC Emergency Medicine Past Accepting new patients
United Emergency Services, Inc. Emergency Medicine Past Accepting new patients
Acs Primary Care Physicians-Midwest Emergency Medicine Past Accepting new patients
Emergency Professionals of Indiana, P.C. Emergency Medicine Past Accepting new patients
Howcott Emergency Physicians Emergency Medicine Past Accepting new patients
Keystone Medical Services of Ms, Inc Emergency Medicine Past Accepting new patients
Gulfport Emergency Physicians Emergency Medicine Past Accepting new patients
Crossroads Emergency Physicians, LLP Emergency Medicine Past Accepting new patients
Monticello Emergency Care, LLC Emergency Medicine Past Accepting new patients
Lafayette Emergency Care, P.C. Emergency Medicine Past Accepting new patients
Midwest Emergency Associates-Munster, LLC Emergency Medicine Past Accepting new patients

Locations

121 E Baker St
Indianola, MS 38751
Phone (601) 887-3113

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 and National Provider Directory roles.

View all 14

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350518400000",
    "number": "1306865746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1340 FAWN RIDGE DR",
            "city": "WEST LAFAYETTE",
            "state": "IN",
            "postal_code": "479064756",
            "telephone_number": "765-491-1422",
            "fax_number": "765-742-7258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1340 FAWN RIDGE DR",
            "city": "WEST LAFAYETTE",
            "state": "IN",
            "postal_code": "479064756",
            "telephone_number": "765-491-1422",
            "fax_number": "765-742-7258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAASSEN",
        "first_name": "MARTIN",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2012-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IN",
            "license": "01025400A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Lafayette, IN

Sources for this page

Verify at the official NPI Registry.