Active NPI
Trever J. Martin, D.P.M.
- Foot & Ankle Surgery Podiatrist
- Emmett, ID
National Provider Identifier
1316236797
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- P-227
- Practice address
- 1024 E Locust St
Emmett, ID 83617 - Phone
- (208) 365-2338
- Fax
- (208) 365-0677
- NPI assigned
- Apr 6, 2011
- Last updated
- Apr 9, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | P-227 | ID | Primary |
Addresses
Primary practice location
1024 E Locust St
Emmett, ID 83617
Mailing address
1202 E Locust St
Emmett, ID 83617-2715
Phone (208) 365-2338
Other practice location 1
203 12th Ave Rd
Nampa, ID 83686-5012
Phone (208) 466-3338
Other practice location 2
203 12th Ave Rd
Nampa, ID 83686-5012
Phone (208) 466-3338
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20005139 | Other | ID | MEDICARE PTAN |
| 820382500 | Other | ID | TAX ID |
| 1316236797 | Other | ID | NPI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1202 E Locust St
Emmett, ID 83617-2715
Phone (208) 365-3561
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walter Knox Memorial Hospital | Current | Accepting new patients | |
| Walter Knox Memorial Hospital | Foot & Ankle Surgery | Current | Accepting new patients |
| Walter Knox Memorial Hospital | Current | Accepting new patients | |
| Walter Knox Memorial Hospital | Current | Accepting new patients |
Locations
1024 E Locust St
Emmett, ID 83617
Phone (208) 365-1065
1202 E Locust St
Emmett, ID 83617
Phone (208) 365-2338
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/eb237299-e2be-4fd4-aca6-5fa7adcd28c1/
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Valor Health
- Specialist
- Emmett, ID
- NPI 1326206947
Foot & Ankle Surgery
-
dba Valor Health - Emmett Medical Center
- Rural Health Clinic/Center
- Emmett, ID
- NPI 1821091083
-
- Family Medicine Physician
- Emmett, ID
- NPI 1861284721
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": "1302048000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554768000000",
"number": "1316236797",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1202 E LOCUST ST",
"city": "EMMETT",
"state": "ID",
"postal_code": "836172715",
"telephone_number": "208-365-2338",
"fax_number": "208-365-0677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1024 E LOCUST ST",
"city": "EMMETT",
"state": "ID",
"postal_code": "83617",
"telephone_number": "208-365-2338",
"fax_number": "208-365-0677"
}
],
"practiceLocations": [
{
"address_1": "203 12th Ave Rd",
"address_purpose": "LOCATION",
"city": "Nampa",
"state": "ID",
"postal_code": "836865012",
"country_code": "US",
"telephone_number": "208-466-3338",
"fax_number": "208-466-3554",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "203 12th Ave Rd",
"address_purpose": "LOCATION",
"city": "Nampa",
"state": "ID",
"postal_code": "836865012",
"country_code": "US",
"telephone_number": "208-466-3338",
"fax_number": "208-466-3554",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARTIN",
"first_name": "TREVER",
"middle_name": "J.",
"name_prefix": "Dr.",
"credential": "D.P.M.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-04-06",
"last_updated": "2019-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "ID",
"license": "P-227",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "20005139",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "820382500",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1316236797",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}Other providers in Emmett, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2019; 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.