Individual provider Active NPI

Paul Langlie Martin, M.D./PH.D

  • Pediatric Hematology & Oncology Physician
  • Chapel Hill, NC
National Provider Identifier
1326101106
Registry record updated Sep 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Hematology & Oncology PhysicianTaxonomy code 2080P0207X
License
35700 Issued in NC
Practice address
1514 Cumberland Rd
Chapel Hill, NC 27514-2621
Phone
(919) 880-7590
Fax
(919) 668-1180
NPI assigned
Dec 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Hematology & Oncology Physician 2080P0207X 35700 NC Primary

Addresses

Primary practice location

1514 Cumberland Rd
Chapel Hill, NC 27514-2621

Mailing address

1514 Cumberland Rd
Chapel Hill, NC 27514-2621
Phone (919) 880-7590

Other identifiers 1

IdentifierTypeStateIssuer
8954501MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041026000064 NC Practitioner - Pediatric MedicinePractitioner - Hematology/Oncology 4789645433 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric MedicineAlso: Hematology/Oncology
Education
Washington University School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carolinas Medical CenterGroup PAC ID 4789597477, 1,057 clinicians

Practice addresses (Care Compare)

1001 Blythe Blvd
Charlotte, NC 28203-5866
Phone (704) 381-9900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
35700NCMDPediatric Hematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carolinas Medical Center CurrentSince Oct 21, 2024 Accepting new patients
Carolinas Medical Center Pediatrics Current Accepting new patients
Carolinas Medical Center Pediatrics CurrentSince Oct 21, 2024 Accepting new patients

Locations

1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791

Interoperability endpoints

  • Direct secure messaging: pmartin27441@direct.medicine.duke.edu
  • Direct secure messaging: pmartin2946556@carolinashealthcaresystem.direct-ci.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725926400000",
    "number": "1326101106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1514 CUMBERLAND RD",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275142621",
            "telephone_number": "919-880-7590",
            "fax_number": "919-668-1180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1514 CUMBERLAND RD",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275142621",
            "telephone_number": "919-880-7590",
            "fax_number": "919-668-1180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "PAUL",
        "middle_name": "LANGLIE",
        "name_prefix": "Dr.",
        "credential": "M.D./PH.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-19",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0207X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Hematology-Oncology",
            "state": "NC",
            "license": "35700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8954501",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

Verify at the official NPI Registry.