Active NPI
Scott Martin, M.D.
- Internal Medicine Physician
- Gretna, LA
National Provider Identifier
1346516333
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD.207221
- Practice address
- 501 Lapalco Blvd
Jencare Neighborhood Medical Center WB, LLC
Gretna, LA 70056 - Phone
- (504) 393-4376
- Fax
- (504) 393-4381
- NPI assigned
- Mar 24, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD.207221 | LA | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
501 Lapalco Blvd
Jencare Neighborhood Medical Center WB, LLC
Gretna, LA 70056
Mailing address
501 Lapalco Blvd
Jencare Neighborhood Medical Center WB, LLC
Gretna, LA 70056
Phone (504) 393-4376
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20181022000081 | LA | Order and Referring Only - Internal Medicine | 3173833241 |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- State University of New York at Stony Brook, School of Medicine, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Excelth, Incorporated
Practice addresses (Care Compare)
9900 Lake Forest Blvd
F
New Orleans, LA 70127-2609
Phone (504) 939-9984
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Excelth, Incorporated | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Federally Qualified Health Center (FQHC)
- Baton Rouge, LA
- NPI 1710914049
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1332547200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1438300800000",
"number": "1346516333",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 LAPALCO BLVD",
"address_2": "JENCARE NEIGHBORHOOD MEDICAL CENTER WB, LLC",
"city": "GRETNA",
"state": "LA",
"postal_code": "70056",
"telephone_number": "504-393-4376",
"fax_number": "504-393-4381"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 LAPALCO BLVD",
"address_2": "JENCARE NEIGHBORHOOD MEDICAL CENTER WB, LLC",
"city": "GRETNA",
"state": "LA",
"postal_code": "70056",
"telephone_number": "504-393-4376",
"fax_number": "504-393-4381"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "SCOTT",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-03-24",
"last_updated": "2015-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "LA",
"license": "MD.207221",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gretna, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2015; 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.