Individual provider Active NPI

Samuel Gene Martin, M.D.

  • Psychiatry Physician
  • Tulsa, OK
National Provider Identifier
1467659953
Registry record updated Feb 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
25859 Issued in OK
Practice address
5310 E 31St St FL 11 Ste 1102
Tulsa, OK 74135-5018
Phone
(918) 561-1700
Fax
(918) 561-1701
NPI assigned
Jun 28, 2007
Last updated
Feb 20, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Psychiatry & Neurology) Physician 2084A0401X 25859 OK
Psychiatry Physician 2084P0800X 25859 OK Primary

Addresses

Primary practice location

5310 E 31St St FL 11 Ste 1102
Tulsa, OK 74135-5018

Mailing address

5310 E 31St St FL 13
Tulsa, OK 74135-5018
Phone (918) 561-5701

Other identifiers 2

IdentifierTypeStateIssuer
440062YM2YOtherOKMEDICARE
200203640AMedicaidOK

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110919000706 OK Practitioner - Psychiatry 8729259973 Reassigns benefits to 2 organizations
Practice locations: Jenks, OK; Okeene, OK

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Oklahoma College of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Oklahoma State UniversityGroup PAC ID 2769739358, 110 clinicians

Practice addresses (Care Compare)

2345 Southwest Blvd
Tulsa, OK 74107-2705
Phone (918) 561-5701

Merit-based Incentive Payment System (MIPS)

Final score
93.91 of 100Reported as group
Quality
77.78
Promoting interoperability
99
Improvement activities
40
Cost
73.95

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
State of Oklahoma CurrentSince Jul 1, 2016 Accepting new patients
Oklahoma State University Addiction Medicine CurrentSince Jan 1, 2020 Accepting new patients
Oklahoma State University CurrentSince Jan 1, 2020 Accepting new patients
Oklahoma State University CurrentSince Nov 3, 2024 Accepting new patients
State of Oklahoma CurrentSince Jul 1, 2016 Accepting new patients
State of Oklahoma Current Accepting new patients
Coal County General Hospital CurrentSince May 1, 2024 Accepting new patients
Oklahoma State University Current Accepting new patients
Coal County General Hospital CurrentSince May 1, 2024 Accepting new patients

Locations

6 N Covington St
Coalgate, OK 74538
Phone (580) 927-2327

602 SW 38th St
Lawton, OK 73505

909 Alameda St
Norman, OK 73071
Phone (405) 573-3812

042 Murray
Stillwater, OK 74078
Phone (405) 744-6021

2323 S Harvard Ave
Tulsa, OK 74114
Phone (918) 293-2140

2345 Southwest Blvd
Tulsa, OK 74107
Phone (918) 582-1980

5310 E 31st St
Ste 11
Tulsa, OK 74135
Phone (918) 561-1890

5310 E 31st St
Ste 13
Tulsa, OK 74135
Phone (918) 561-5701

Dept 2563
Tulsa, OK 74182

Interoperability endpoints

  • Direct secure messaging: smartin50709@direct.saintfrancis.com

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1182988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740009600000",
    "number": "1467659953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5310 E 31ST ST FL 13",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741355018",
            "telephone_number": "918-561-5701",
            "fax_number": "918-561-1173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5310 E 31ST ST FL 11 STE 1102",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741355018",
            "telephone_number": "918-561-1700",
            "fax_number": "918-561-1701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "SAMUEL",
        "middle_name": "GENE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-28",
        "last_updated": "2025-02-20",
        "certification_date": "2025-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084A0401X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "OK",
            "license": "25859",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OK",
            "license": "25859",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "440062YM2Y",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200203640A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.