Active NPI
Julie Elizabeth Martin, MD
- Dermatology Physician
- Lexington, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- TP422
- Practice address
- 120 N Eagle Creek Dr Ste 360
Lexington, KY 40509-1827 - Phone
- (859) 258-5270
- Fax
- (859) 258-5202
- NPI assigned
- Aug 5, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | MD.208214 | LA | |
| Surgery Physician | 208600000X | N0249 | TX | |
| Dermatology Physician | 207N00000X | TP422 | KY | Primary |
Addresses
Primary practice location
120 N Eagle Creek Dr Ste 360
Lexington, KY 40509-1827
Mailing address
1221 S Broadway
Lexington, KY 40504-2701
Phone (859) 258-6200
Other practice location 1
110 Village Pkwy
Nicholasville, KY 40356-2327
Phone (859) 887-8400
Other practice location 2
1221 S Broadway
Lexington, KY 40504-2701
Phone (859) 258-5270
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04909242 | Medicaid | MS | |
| 2402048 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- 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
- Dermatology
- Education
- Louisiana State University School of Medicine in New Orleans, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
120 N Eagle Creek Dr
Suite 360
Lexington, KY 40509-1827
Phone (859) 258-5270
Merit-based Incentive Payment System (MIPS)
- Final score
- 47.05 of 100
- Quality
- 54.1
- Promoting interoperability
- 0
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of skin lesions | 312 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 140 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| N0249 | TX | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Lexington Clinic, PSC | Current | Accepting new patients | |
| New Lexington Clinic PSC | Current | Accepting new patients |
Locations
1221 S Broadway
Lexington, KY 40504
Phone (859) 258-4181
120 N Eagle Creek Dr
Ste 360
Lexington, KY 40509
Phone (859) 258-5270
110 Village Pkwy
Nicholasville, KY 40356
Phone (859) 887-2484
Interoperability endpoints
- julie.martin.1@13059.direct.athenahealth.com
Organizations & group practices 2
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.
-
- Multi-Specialty Clinic/Center
- Lexington, KY
- NPI 1700803681
-
- Clinical Medical Laboratory
- Lexington, KY
- NPI 1285409425
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727395200000",
"number": "1356532543",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1221 S BROADWAY",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405042701",
"telephone_number": "859-258-6200",
"fax_number": "859-258-6402"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 N EAGLE CREEK DR STE 360",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405091827",
"telephone_number": "859-258-5270",
"fax_number": "859-258-5202"
}
],
"practiceLocations": [
{
"address_1": "110 Village Pkwy",
"address_purpose": "LOCATION",
"city": "Nicholasville",
"state": "KY",
"postal_code": "403562327",
"country_code": "US",
"telephone_number": "859-887-8400",
"fax_number": "859-885-8448",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1221 S Broadway",
"address_purpose": "LOCATION",
"city": "Lexington",
"state": "KY",
"postal_code": "405042701",
"country_code": "US",
"telephone_number": "859-258-5270",
"fax_number": "859-258-5202",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARTIN",
"first_name": "JULIE",
"middle_name": "ELIZABETH",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-05",
"last_updated": "2024-09-27",
"certification_date": "2024-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "LA",
"license": "MD.208214",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "TX",
"license": "N0249",
"primary": false
},
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "KY",
"license": "TP422",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "04909242",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2402048",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2024; 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.