NPIMap

Individual provider Active NPI

Andrew S Martin, MD

  • Orthopaedic Surgery Physician
  • Las Vegas, NV
National Provider Identifier
1417007345
Registry record updated Jan 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
11416 Issued in NV
Practice address
5546 S Fort Apache Rd
Suite 100
Las Vegas, NV 89148-7692
Phone
(702) 898-2663
Fax
(702) 304-2663
NPI assigned
Jan 11, 2007
Last updated
Jan 26, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 11416 NV
Orthopaedic Surgery Physician 207X00000X 11416 NV Primary

Addresses

Primary practice location

5546 S Fort Apache Rd
Suite 100
Las Vegas, NV 89148-7692

Mailing address

5546 S Fort Apache Rd
Suite 100
Las Vegas, NV 89148-7692
Phone (702) 898-2663

Other identifiers 1

IdentifierTypeStateIssuer
405411300MedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050712001227 NV Practitioner - Orthopedic Surgery 4082680707 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Howard University College of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5546 S Fort Apache Rd
Suite 100
Las Vegas, NV 89148-7693
Phone (702) 898-2663

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
13.67 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
45.56

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement15
Knee replacement17
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
11416NVMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Desert Springs Hospital Past Accepting new patients
Southern Hills Medical Center, LLC Past Accepting new patients
Spring Valley Medical Center Past Accepting new patients
Desert Orthopaedic Center, LTD. Orthopaedic Surgery PastSince Jul 1, 2013 Accepting new patients
Summerlin Hospital Medical Center L L C Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: andrewsmartin@asmop-nv.direct.office.nextgen.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 10

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": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422230400000",
    "number": "1417007345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5546 S FORT APACHE RD",
            "address_2": "SUITE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891487692",
            "telephone_number": "702-898-2663",
            "fax_number": "702-304-2663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5546 S FORT APACHE RD",
            "address_2": "SUITE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891487692",
            "telephone_number": "702-898-2663",
            "fax_number": "702-304-2663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "ANDREW",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-11",
        "last_updated": "2015-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NV",
            "license": "11416",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NV",
            "license": "11416",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "405411300",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.