Individual provider Active NPI

Kent S Martin, D.P.M.

  • Podiatrist
  • Sheffield, AL
National Provider Identifier
1396848610
Registry record updated May 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
169 Issued in AL
Practice address
426 Cox Blvd
Sheffield, AL 35660-4000
Phone
(256) 389-1990
Fax
(256) 389-1920
NPI assigned
Sep 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 169 AL Primary

Addresses

Primary practice location

426 Cox Blvd
Sheffield, AL 35660-4000

Mailing address

426 Cox Blvd
Sheffield, AL 35660-4000
Phone (256) 389-1990

Other identifiers 1

IdentifierTypeStateIssuer
51078987OtherALBLUE CROSS/BLUE SHIELD AL

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110121000309 AL Practitioner - Podiatry 0547479768 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
William M. Scholl College of Podiatric Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

426 Cox Blvd
Sheffield, AL 35660-4000
Phone (256) 389-1990

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
45 of 100Reported as individual
Quality
90
Improvement activities
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue31
Removal of nail tissue203
Removal or shaving of skin growth145
Skin biopsy289

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Martin Foot Specialists, Inc Podiatrist CurrentSince Jun 26, 2010 Accepting new patients
Shoals Primary Care, LLC CurrentSince Feb 13, 2019 Accepting new patients

Locations

426 Cox Blvd
Sheffield, AL 35660
Phone (256) 389-1990

342 Cox Blvd
Sheffield, AL 35660
Phone (256) 383-4473

1404 E Avalon Ave
Tuscumbia, AL 35674
Phone (256) 381-5507

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.

Hospital & facility affiliations 1

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": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274400000000",
    "number": "1396848610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "426 COX BLVD",
            "city": "SHEFFIELD",
            "state": "AL",
            "postal_code": "356604000",
            "telephone_number": "256-389-1990",
            "fax_number": "256-389-1920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "426 COX BLVD",
            "city": "SHEFFIELD",
            "state": "AL",
            "postal_code": "356604000",
            "telephone_number": "256-389-1990",
            "fax_number": "256-389-1920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "KENT",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-06",
        "last_updated": "2010-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "AL",
            "license": "169",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD AL",
            "identifier": "51078987",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sheffield, AL

Sources for this page

Verify at the official NPI Registry.