Individual provider Active NPI

Scott Martin, M.D.

  • Internal Medicine Physician
  • Gretna, LA
National Provider Identifier
1346516333
Registry record updated Jul 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD.207221 Issued in LA
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

Updated by the provider on Jul 31, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181022000081 LA Order and Referring Only - Internal MedicinePractitioner - 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, IncorporatedGroup PAC ID 9830364629, shared by 4 NPIs, 17 clinicians

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

OrganizationSpecialtyStatusNew 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.

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

Verify at the official NPI Registry.