Individual provider Active NPI

Ruth Martens, M.D.

  • General Practice Physician
  • Wheaton, IL
National Provider Identifier
1407030596
Registry record updated Dec 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Practice address
1913 Gladstone Dr
Wheaton, IL 60187-8123
Phone
(630) 668-5595
NPI assigned
Dec 25, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 25, 2007

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Aerospace Medicine Physician 2083A0100X IL
Public Health & General Preventive Medicine Physician 2083P0901X IL
General Practice Physician 208D00000X IL Primary

Addresses

Primary practice location

1913 Gladstone Dr
Wheaton, IL 60187-8123

Mailing address

1913 Gladstone Dr
Wheaton, IL 60187-8123
Phone (630) 668-5595

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Mar 1, 2016 through Mar 1, 2028

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-065262ILMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ruth C. Martens, M.D. PastSince Jan 1, 1990 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1198540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198540800000",
    "number": "1407030596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1913 GLADSTONE DR",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601878123",
            "telephone_number": "630-668-5595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1913 GLADSTONE DR",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601878123",
            "telephone_number": "630-668-5595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTENS",
        "first_name": "RUTH",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-25",
        "last_updated": "2007-12-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083A0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Aerospace Medicine",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheaton, IL

Sources for this page

Verify at the official NPI Registry.