Active NPI
Donald J Martin Jr., MD
- Surgery Physician
- Adrian, MI
National Provider Identifier
1487662797
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 4301045313
- Practice address
- 750 High St
Adrian, MI 49221-1443 - Phone
- (517) 264-5111
- Fax
- (517) 264-5139
- NPI assigned
- Aug 3, 2006
- Last updated
- Sep 29, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 4301045313 | MI | Primary |
Addresses
Primary practice location
750 High St
Adrian, MI 49221-1443
Mailing address
750 High St
Adrian, MI 49221-1443
Phone (517) 264-5111
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4515920 | Other | AETNA | |
| P00371571 | Other | RRMC | |
| 000000494719 | Other | ANTHEM | |
| 102319 | Other | GLHP | |
| 5879 | Other | HPM | |
| 04535 | Other | PARAMOUNT | |
| 204600571 | Other | BCBS MI | |
| 4907813 | Medicaid | MI | |
| 510801 | Other | CARECHOICE/PREFERRED CHOI | |
| 0904249 | Medicaid | OH |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dmartin13981@epicdirect.promedica.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Promedica Central Corporation of Michigan | Surgery | Current | Accepting new patients |
Locations
200 E Russell Rd
Unit C
Tecumseh, MI 49286
Phone (517) 424-3883
100 Madison Ave
Toledo, OH 43604
Phone (567) 585-1964
Interoperability endpoints
- dmartin13981@direct.promedica.org
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Toledo, OH
- NPI 1588624696
MI, Surgery
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790640000000",
"number": "1487662797",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "750 HIGH ST",
"city": "ADRIAN",
"state": "MI",
"postal_code": "492211443",
"telephone_number": "517-264-5111",
"fax_number": "517-264-5139"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "750 HIGH ST",
"city": "ADRIAN",
"state": "MI",
"postal_code": "492211443",
"telephone_number": "517-264-5111",
"fax_number": "517-264-5139"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "DONALD",
"middle_name": "J",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-03",
"last_updated": "2026-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MI",
"license": "4301045313",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4515920",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RRMC",
"identifier": "P00371571",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000494719",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GLHP",
"identifier": "102319",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HPM",
"identifier": "5879",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PARAMOUNT",
"identifier": "04535",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS MI",
"identifier": "204600571",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4907813",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARECHOICE/PREFERRED CHOI",
"identifier": "510801",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0904249",
"state": "OH"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dmartin13981@epicdirect.promedica.org",
"affiliation": "N",
"address_1": "100 Madison Ave",
"city": "Toledo",
"state": "OH",
"country_code": "US",
"postal_code": "436041516",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Adrian, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.