Caroline Lucille Martin, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

05-41119 Issued in KS

Practice address

400 SW Longview Blvd Ste 280
Lees Summit, MO 64081-2157

Phone

(816) 477-7200

NPI assigned

May 1, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in KS, MO2 enrollments

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 2

Specialty

Family Practice

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Curana Health of Missouri-Kansas LLCGroup PAC ID 4789716531, 143 clinicians

CH Specialty Services KS LLCGroup PAC ID 6800261819, 65 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Evergreen Hospice Care LLC Hospice, Olathe, KS, CCN 171595
• Catholic Comm Hospice Hospice, Overland Park, KS, CCN 171540
• Catholic Community Hospice Hospice, Kansas City, MO, CCN 261644
• Monarch Hospice & Palliative Care Hospice, Shawnee, KS, CCN 171616
• Kansas City Hospice and Palliative Care Hospice, Overland Park, KS, CCN 171579
• Westchester Village of Lenexa Nursing home, Lenexa, KS, CCN 175536
• Evergreen Community of Johnson County Nursing home, Olathe, KS, CCN 175355
• Colonial Village Nursing home, Overland Park, KS, CCN 175560

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• CCRC of Lenexa, LLC

  • Skilled Nursing Facility
  • Lenexa, KS
  • NPI 1144734088

  Adp of the SNF, Operational/Managerial Control

  CMS ownership
• CCRC of Overland Park, LLC

  • Skilled Nursing Facility
  • Overland Park, KS
  • NPI 1063946143

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

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.

• Curana Health of Missouri-Kansas LLC

  • Family Medicine Physician
  • Lees Summit, MO
  • NPI 1306165337

  KS

  Medicare reassignment Care Compare group NPD
• CH Specialty Services KS LLC

  • Internal Medicine Physician
  • Lenexa, KS
  • NPI 1770282188
  Medicare reassignment Care Compare group NPD
• CH Specialty Services Mo LLC

  • Internal Medicine Physician
  • Lees Summit, MO
  • NPI 1194422253
  Medicare reassignment NPD
• CCRC of Lenexa, LLC

  • Skilled Nursing Facility
  • Lenexa, KS
  • NPI 1144734088
  NPD (past)
• Evergreen Living Innovations, Inc.

  • Skilled Nursing Facility
  • Olathe, KS
  • NPI 1356492649
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Catholic Community Hospice of Northeast Kansas, Inc.

  • Community Based Hospice Care Agency
  • Kansas City, MO
  • NPI 1275542862
  Care Compare affiliation
• Alliance Healing Hospice & Palliative Care LLC

  • Community Based Hospice Care Agency
  • Shawnee, KS
  • NPI 1730773797
  Care Compare affiliation
• Catholic Community Hospice of Northeast Kansas Inc

  • Community Based Hospice Care Agency
  • Lenexa, KS
  • NPI 1316976103
  Care Compare affiliation
• CCRC of Lenexa, LLC

  • Skilled Nursing Facility
  • Lenexa, KS
  • NPI 1144734088

  Nursing home

  Care Compare affiliation
• CCRC of Overland Park, LLC

  • Skilled Nursing Facility
  • Overland Park, KS
  • NPI 1063946143

  Nursing home

  Care Compare affiliation
• Evergreen Hospice Care, LLC

  • Community Based Hospice Care Agency
  • Olathe, KS
  • NPI 1356749527
  Care Compare affiliation
• Evergreen Living Innovations, Inc.

  • Skilled Nursing Facility
  • Olathe, KS
  • NPI 1356492649

  Nursing home

  Care Compare affiliation
• Kansas City Hospice, Inc

  • Community Based Hospice Care Agency
  • Overland Park, KS
  • NPI 1235460361
  Care Compare affiliation

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

{
    "created_epoch": "1430438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675382400000",
    "number": "1346627049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 SW LONGVIEW BLVD STE 280",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640812157",
            "telephone_number": "816-477-7200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 SW LONGVIEW BLVD STE 280",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640812157",
            "telephone_number": "816-477-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "CAROLINE",
        "middle_name": "LUCILLE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-01",
        "last_updated": "2023-02-03",
        "certification_date": "2023-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2020027254",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "05-41119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Morgan Martens, MS
• Abbie Elizabeth Martin, NP
• Amanda Martin
• Andrew Thomas Martin
• Anna Martin
• Haley Elizabeth Martin, MSAT, LAT, ATC
• Mark W Martin, MD
• Michelle Martin, PLPC
• Natalie Martin, MS, RD, LD
• Sarah Martin, M.S. CCC-SLP

• Family Medicine Physician in Lees Summit, MO
• Providers in Lees Summit, MO by specialty
• Family Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.

Verify at the official NPI Registry.