NPIMap

Individual provider Active NPI

James Richard Martin, MD

  • Otolaryngology Physician
  • Saint Louis, MO
National Provider Identifier
1326339045
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
2016015486 Issued in MO
Practice address
607 S New Ballas Rd Ste 2300
Saint Louis, MO 63141-8234
Phone
(314) 251-6394
Fax
(314) 251-4235
NPI assigned
Apr 28, 2011
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 2016015486 MO Primary

Addresses

Primary practice location

607 S New Ballas Rd Ste 2300
Saint Louis, MO 63141-8234

Mailing address

PO Box 790379
Saint Louis, MO 63179-0379
Phone (314) 251-6394

Other practice location 1

4921 Parkview Pl
Ste 11A
Saint Louis, MO 63110-1032
Phone (314) 362-7509

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161010000280 MO Practitioner - Otolaryngology 6507167319 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Loyola University of Chicago, Stritch School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Clinic ENT LLCGroup PAC ID 7517118813, 12 clinicians

Practice addresses (Care Compare)

607 S New Ballas Rd
2300 Mercy Clinic Ear Nose Throat Dav
Saint Louis, MO 63141-8234
Phone (314) 251-6394

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision17
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic ENT LLC Otolaryngology CurrentSince Feb 22, 2021 Accepting new patients
Mercy Hospitals East Communities CurrentSince Apr 9, 2018 Accepting new patients
Mercy Hospitals East Communities CurrentSince Apr 9, 2018 Accepting new patients

Locations

607 S New Ballas Rd
Ste 2300
Saint Louis, MO 63141
Phone (314) 251-6394

615 S New Ballas Rd
Saint Louis, MO 63141
Phone (314) 251-4687

901 Patients First Dr
#3500
Washington, MO 63090
Phone (636) 390-1570

Interoperability endpoints

  • Direct secure messaging: jmartin953337@directc.mercy.net

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 5

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": "1303948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1326339045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 790379",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631790379",
            "telephone_number": "314-251-6394",
            "fax_number": "314-251-4235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 S NEW BALLAS RD STE 2300",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418234",
            "telephone_number": "314-251-6394",
            "fax_number": "314-251-4235"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4921 Parkview Pl",
            "address_2": "Ste 11A",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631101032",
            "country_code": "US",
            "telephone_number": "314-362-7509",
            "fax_number": "314-362-7522",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "JAMES",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-28",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "MO",
            "license": "2016015486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.