Individual provider Active NPI

Martha L. Twaddle, MD, FACP, FAAHPM

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Glenview, IL
National Provider Identifier
1366492324
Registry record updated Jul 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Internal Medicine) PhysicianTaxonomy code 207RH0002X
License
036-074835 Issued in IL
Practice address
2050 Claire Court
Glenview, IL 60025-7635
Phone
(847) 467-7423
Fax
(847) 556-1505
NPI assigned
May 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2012

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 036-074835 IL
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X 036-074835 IL Primary

Addresses

Primary practice location

2050 Claire Court
Glenview, IL 60025-7635

Mailing address

25400 N Saint Marys Rd
Libertyville, IL 60048-9460
Phone (847) 556-1697

Other identifiers 1

IdentifierTypeStateIssuer
036-074835MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20040212000906 IL Practitioner - Internal MedicinePractitioner - Hospice/Palliative Care 0840184487 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Indiana University School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

201 E Huron St
Suite 105
Chicago, IL 60611-3197
Phone (312) 926-6146

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.19 of 100Reported as apm
Quality
83.05
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036-074835ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northwestern Medical Faculty Foundation CurrentSince May 23, 2023 Accepting new patients
Journeycare, Inc CurrentSince May 21, 2014 Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince May 23, 2023 Accepting new patients
Journeycare, Inc. CurrentSince May 21, 2014 Accepting new patients

Locations

Dept 5777
Carol Stream, IL 60122

201 E Huron St
Ste 105
Chicago, IL 60611

680 N Lake Shore Dr
Ste 1015
Chicago, IL 60611
Phone (312) 926-9674

2050 Claire Ct
Glenview, IL 60025
Phone (847) 467-7425

660 N Westmoreland Rd
#302
Lake Forest, IL 60045

515 Valley View Dr
Ste 201
Moline, IL 61265
Phone (312) 695-0870

405 Lake Zurich Rd
North Barrington, IL 60010
Phone (847) 381-5599

Organizations & group practices 4

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343001600000",
    "number": "1366492324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25400 N SAINT MARYS RD",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600489460",
            "telephone_number": "847-556-1697",
            "fax_number": "847-556-1505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 CLAIRE COURT",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600257635",
            "telephone_number": "847-467-7423",
            "fax_number": "847-556-1505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TWADDLE",
        "first_name": "MARTHA",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "MD, FACP, FAAHPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-11",
        "last_updated": "2012-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036-074835",
            "primary": false
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "IL",
            "license": "036-074835",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036-074835",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glenview, IL

Sources for this page

Verify at the official NPI Registry.