NPIMap

Individual provider Active NPI

Michael David Martz, DO

  • Family Medicine Physician
  • Lima, OH
National Provider Identifier
1477563740
Registry record updated Jul 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34.008817 Issued in OH
Practice address
825 W Market St
Suite 205
Lima, OH 45805-2799
Phone
(419) 996-5780
Fax
(419) 996-5781
NPI assigned
Aug 9, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 6, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 34.008817 OH Primary

Addresses

Primary practice location

825 W Market St
Suite 205
Lima, OH 45805-2799

Mailing address

PO Box 636930
Cincinnati, OH 45263-0001
Phone (513) 981-5015

Other identifiers 3

IdentifierTypeStateIssuer
11648024OtherCAQH
2677965MedicaidOH
34.008817OtherOHMEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20061025000452 OH Practitioner - Family Practice 3274530753 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Midwestern University, Chicago College of Osteopathic Med, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mercy Health Physicians Lima, LLCGroup PAC ID 3375607351, 54 clinicians

Practice addresses (Care Compare)

825 W High St
Suite 205
Lima, OH 45801-3983
Phone (419) 996-5780

Hospital & facility affiliations

  • Community Health Professionals, Inc Home health agency, Van Wert, OH, CCN 367131
  • Interim Healthcare of Lima Home health agency, Lima, OH, CCN 367208
  • Mercy Health-Home Health, Lima Home health agency, Lima, OH, CCN 367417
  • Mercy Health St Ritas Medical Center Hospital, Lima, OH, CCN 360066
  • Lima Memorial Health System Hospital, Lima, OH, CCN 360009
  • Institute for Orthopaedic Surgery Hospital, Lima, OH, CCN 360263
  • Grand Lake Health System Hospital, Saint Marys, OH, CCN 360032
  • Mary Rutan Hospital Hospital, Bellefontaine, OH, CCN 360197

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34.008817OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Physicians Lima, LLC Family Medicine CurrentSince Jan 1, 2009 Accepting new patients
Mercy Health Physicians Lima Specialty Care LLC CurrentSince May 5, 2021 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

967 Bellefontaine Ave
Lima, OH 45804
Phone (419) 224-1330

830 W High St
Ste 390
Lima, OH 45801
Phone (419) 995-4960

825 W Market St
Ste 205
Lima, OH 45805
Phone (419) 996-5069

770 W High St
Ste 450
Lima, OH 45801
Phone (419) 996-5069

730 W Market St
Lima, OH 45801
Phone (419) 226-4310

Interoperability endpoints

  • Direct secure messaging: mmartz39532@direct.bsmhealth.org

Organizations & group practices 3

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 9

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": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1499299200000",
    "number": "1477563740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 636930",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452630001",
            "telephone_number": "513-981-5015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 W MARKET ST",
            "address_2": "SUITE 205",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458052799",
            "telephone_number": "419-996-5780",
            "fax_number": "419-996-5781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTZ",
        "first_name": "MICHAEL",
        "middle_name": "DAVID",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-09",
        "last_updated": "2017-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34.008817",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11648024",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2677965",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "34.008817",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lima, OH

Sources for this page

Verify at the official NPI Registry.