Active NPI
Keith Christopher Martin, MD
- Obstetrics & Gynecology Physician
- Montgomery, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 19884
- Practice address
- 7065 Sydney Curv
Montgomery, AL 36117-3509 - Phone
- (334) 647-1007
- Fax
- (334) 647-1117
- NPI assigned
- Aug 1, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 19884 | AL | Primary |
Addresses
Primary practice location
7065 Sydney Curv
Montgomery, AL 36117-3509
Mailing address
69 Ava LN
Wetumpka, AL 36093-3457
Phone (334) 398-1636
Other practice location 1
495 Taylor Rd
Montgomery, AL 36117-3513
Phone (334) 279-9333
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 33834 | Other | AL | BLUE CROSS/BLUE SHIELD |
| 7410403 | Other | AL | UNITED HEALTHCARE |
| 33834 | Medicaid | AL | |
| 640801795 | Other | AL | TRICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- University of Tennessee, HSC, College of Medicine, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
7065 Sydney Curv
Montgomery, AL 36117-3509
Phone (334) 647-1007
Hospital & facility affiliations
- Baptist Medical Center South
- Prattville Baptist Hospital
- Baptist Medical Center East
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of the uterus | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19884 | AL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Keith C. Martin MD PC | Obstetrics & Gynecology | Current | Accepting new patients |
| Health Care Authority for Baptist Health an Affiliate of Uabhs | Past | Accepting new patients |
Locations
7065 Sydney Curv
Montgomery, AL 36117
Phone (334) 274-1377
Interoperability endpoints
- keith.martin@ala087.digichart.direct-ci.com
- keith.martin@direct.baptistfirst.org
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.
-
- Obstetrics & Gynecology Physician
- Montgomery, AL
- NPI 1013690601
-
- Obstetrics & Gynecology Physician
- Montgomery, AL
- NPI 1932278652
-
- General Acute Care Hospital
- Montgomery, AL
- NPI 1104917780
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Montgomery, AL
- NPI 1104917780
-
- General Acute Care Hospital
- Montgomery, AL
- NPI 1700977105
-
- General Acute Care Hospital
- Prattville, AL
- NPI 1942391230
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691539200000",
"number": "1356358808",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "69 AVA LN",
"city": "WETUMPKA",
"state": "AL",
"postal_code": "360933457",
"telephone_number": "334-398-1636"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7065 SYDNEY CURV",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361173509",
"telephone_number": "334-647-1007",
"fax_number": "334-647-1117"
}
],
"practiceLocations": [
{
"address_1": "495 Taylor Rd",
"address_purpose": "LOCATION",
"city": "Montgomery",
"state": "AL",
"postal_code": "361173513",
"country_code": "US",
"telephone_number": "334-279-9333",
"fax_number": "334-279-9381",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARTIN",
"first_name": "KEITH",
"middle_name": "CHRISTOPHER",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-01",
"last_updated": "2023-08-09",
"certification_date": "2023-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "AL",
"license": "19884",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "33834",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "7410403",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "33834",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "640801795",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Montgomery, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2023; 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.