Active NPI
David Thomas Martin, M.D.
- Surgical Critical Care Physician
- Minneapolis, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Critical Care Physician
- License
- 64024
- Practice address
- 909 Fulton St SE
Minneapolis, MN 55455-4800 - Phone
- (612) 672-7422
- NPI assigned
- Apr 14, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 64024 | MN | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Surgical Critical Care Physician | 2086S0102X | 64024 | MN | Primary |
Addresses
Primary practice location
909 Fulton St SE
Minneapolis, MN 55455-4800
Mailing address
1411 E 31St St
Qic 22134
Oakland, CA 94602-1018
Phone (510) 437-4965
Other practice location 1
1411 E 31st St
Qic 22134
Oakland, CA 94602-1018
Phone (510) 437-4965
Other practice location 2
2450 Riverside Ave
Minneapolis, MN 55454-1450
Phone (612) 273-8383
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- University of Minnesota Medical School, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2450 Riverside Ave
Minneapolis, MN 55454-1450
Phone (612) 672-7422
3300 Oakdale Ave N
Robbinsdale, MN 55422-2926
Phone (763) 581-5400
3366 Oakdale Ave N
Suite 200
Robbinsdale, MN 55422-2962
Phone (763) 520-5200
500 Harvard St SE
Minneapolis, MN 55455-0363
Phone (612) 273-8383
5200 Fairview Blvd
Wyoming, MN 55092-8013
Phone (651) 982-7000
909 Fulton St SE
Minneapolis, MN 55455-4800
Phone (612) 672-7422
911 Northland Dr
Princeton, MN 55371-2172
Phone (763) 389-1313
919 Northland Dr
Princeton, MN 55371-2172
Phone (763) 389-3344
Hospital & facility affiliations
- M Health Fairview University of MN Medical Center
- North Memorial Health Hospital
- Maple Grove Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.44 of 100
- Quality
- 82.65
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.21
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.63 of 100
- Quality
- 75.41
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.75
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.66 of 100
- Quality
- 79.17
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 73.43
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hernia repair (minimally invasive) | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Removal of tissue | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 64024 | MN | MD | Surgical Critical Care Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healtheast Medical Research Institute | Surgery | Current | Accepting new patients |
| Fairview Health Services | Current | Accepting new patients | |
| North Memorial Health Care | Current | Accepting new patients | |
| North Memorial Health Care | Current | Accepting new patients | |
| Fairview Health Services | Current | Accepting new patients | |
| University of Minnesota Physicians | Current | Accepting new patients | |
| Fairview Express Care | Current | Accepting new patients | |
| Healtheast Medical Research Institute | Surgery | Current | Accepting new patients |
| University of Minnesota Health Clinics and Surgery Center Inc | Current | Accepting new patients | |
| Healtheast Medical Research Institute | Current | Accepting new patients | |
| Fairview Clinics | Current | Accepting new patients | |
| Fairview Express Care | Current | Accepting new patients | |
| University of Minnesota Physicians | Current | Accepting new patients | |
| Fairview Express Care | Current | Accepting new patients | |
| University of Minnesota Health Clinics and Surgery Center, Inc. | Current | Accepting new patients | |
| UCSF | Past | Accepting new patients |
Locations
201 E Nicollet Blvd
Burnsville, MN 55337
Phone (952) 892-2000
909 Fulton St SE
Minneapolis, MN 55455
Phone (612) 273-8383
400 Stinson Blvd
Fl 2
Minneapolis, MN 55413
Phone (612) 672-2203
2450 Riverside Ave
Minneapolis, MN 55454
Phone (612) 273-7838
6401 France Ave S
Minneapolis, MN 55435
Phone (952) 920-8477
720 Washington Ave SE
Minneapolis, MN 55414
Phone (612) 883-0649
909 Fulton St SE
Ste 202
Minneapolis, MN 55455
Phone (612) 273-8383
717 Delaware St SE
Ste 340
Minneapolis, MN 55414
Phone (612) 625-3617
911 Northland Dr
Princeton, MN 55371
Phone (763) 389-1313
3300 Oakdale Ave N
Robbinsdale, MN 55422
Phone (763) 520-5048
3366 Oakdale Ave N
Ste 200
Robbinsdale, MN 55422
Phone (763) 287-5000
1700 University Ave W
Fl 6
Saint Paul, MN 55104
Phone (651) 232-2273
45 10th St W
Saint Paul, MN 55102
Phone (651) 232-3000
Interoperability endpoints
- dmartin196128@fairview.direct-ci.com
Organizations & group practices 17
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.
-
- Multi-Specialty Clinic/Center
- Minneapolis, MN
- NPI 1053952606
-
- General Acute Care Hospital
- Robbinsdale, MN
- NPI 1851344907
-
- Clinic/Center
- Minneapolis, MN
- NPI 1053795187
-
- Emergency Medicine Physician
- Minneapolis, MN
- NPI 1811077175
-
- Clinic/Center
- Vadnais Heights, MN
- NPI 1639125503
-
- Multi-Specialty Clinic/Center
- Minneapolis, MN
- NPI 1477598118
-
- Primary Care Clinic/Center
- Hugo, MN
- NPI 1518111772
-
- Specialist
- Saint Paul, MN
- NPI 1679048763
-
- General Practice Physician
- Edina, MN
- NPI 1831707207
-
- General Acute Care Hospital
- Minneapolis, MN
- NPI 1013994359
-
- Land Ambulance
- Saint Paul, MN
- NPI 1710212485
-
- Internal Medicine Physician
- Saint Paul, MN
- NPI 1508191552
Surgery
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Minneapolis, MN
- NPI 1013994359
-
- General Acute Care Hospital
- Minneapolis, MN
- NPI 1316008212
-
- General Acute Care Hospital
- Maple Grove, MN
- NPI 1225272552
-
- General Acute Care Hospital
- Robbinsdale, MN
- NPI 1851344907
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302739200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1555286400000",
"number": "1427348291",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1411 E 31ST ST",
"address_2": "QIC 22134",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946021018",
"telephone_number": "510-437-4965"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "909 FULTON ST SE",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554554800",
"telephone_number": "612-672-7422"
}
],
"practiceLocations": [
{
"address_1": "1411 E 31st St",
"address_2": "QIC 22134",
"address_purpose": "LOCATION",
"city": "Oakland",
"state": "CA",
"postal_code": "946021018",
"country_code": "US",
"telephone_number": "510-437-4965",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2450 Riverside Ave",
"address_purpose": "LOCATION",
"city": "Minneapolis",
"state": "MN",
"postal_code": "554541450",
"country_code": "US",
"telephone_number": "612-273-8383",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARTIN",
"first_name": "DAVID",
"middle_name": "THOMAS",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-04-14",
"last_updated": "2019-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MN",
"license": "64024",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "2086S0102X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Critical Care",
"state": "MN",
"license": "64024",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.