Active NPI
Howard Clyde Martin, MD PHD
- General Practice Physician
- Chicago, IL
National Provider Identifier
1386702777
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 036076603
- Practice address
- 1060 W Argyle St
Argyle Medical Center
Chicago, IL 60640 - Phone
- (773) 989-7661
- Fax
- (773) 989-7633
- NPI assigned
- Dec 5, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 036076603 | IL | Primary |
Addresses
Primary practice location
1060 W Argyle St
Argyle Medical Center
Chicago, IL 60640
Mailing address
1060 W Argyle St
Argyle Medical Center
Chicago, IL 60640
Phone (773) 989-7661
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0001607687 | Other | IL | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
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, Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mullapudi Medical LLC | Past | Accepting new patients | |
| Health Choice Medical Center LTD | Past | Accepting new patients | |
| Mayo Clinic Health System-Southwest Minnesota Region | Past | Accepting new patients | |
| Home Care Physicians, Inc. | Past | Accepting new patients | |
| Prime Health Medical and Rehab LTD | Past | Accepting new patients |
Organizations & group practices 5
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.
-
- Health Service Clinic/Center
- Skokie, IL
- NPI 1124224597
-
- Physician Assistant
- Bloomingdale, IL
- NPI 1184951469
-
- Internal Medicine Physician
- Oak Brook, IL
- NPI 1336434687
-
- Clinic/Center
- Wheeling, IL
- NPI 1568618783
-
- Multi-Specialty Clinic/Center
- Mankato, MN
- NPI 1578545422
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550793600000",
"number": "1386702777",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1060 W ARGYLE ST",
"address_2": "ARGYLE MEDICAL CENTER",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60640",
"telephone_number": "773-989-7661",
"fax_number": "773-989-7633"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1060 W ARGYLE ST",
"address_2": "ARGYLE MEDICAL CENTER",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60640",
"telephone_number": "773-989-7661",
"fax_number": "773-989-7633"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "HOWARD",
"middle_name": "CLYDE",
"credential": "MD PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-05",
"last_updated": "2019-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "IL",
"license": "036076603",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "0001607687",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.