Active NPI
Christopher Robert Martin, MD
- Psychiatry Physician
- Ann Arbor, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 4301114495
- Practice address
- 1500 East Medical Center Dr
9TH Floor University Hospital Recp D
Ann Arbor, MI 48109-5118 - Phone
- (734) 936-9760
- NPI assigned
- May 12, 2009
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychosomatic Medicine Physician | 2084P0015X | 4301114495 | MI | |
| Psychiatry Physician | 2084P0800X | MD449659 | PA | |
| Psychiatry Physician | 2084P0800X | C1-0011038 | DE | |
| Psychiatry Physician | 2084P0800X | 4301114495 | MI | Primary |
Addresses
Primary practice location
1500 East Medical Center Dr
9TH Floor University Hospital Recp D
Ann Arbor, MI 48109-5118
Mailing address
3621 S State St
Ann Arbor, MI 48108-1633
Phone (734) 647-5299
Other practice location 1
2501 N 3rd St
Harrisburg, PA 17110-1904
Phone (717) 782-4734
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- 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
- Psychiatry
- Education
- Jefferson Medical College of Thomas Jefferson University, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1020 Sansom St
Suite 1652
Philadelphia, PA 19107-5002
Phone (215) 955-6683
Hospital & facility affiliations
- Thomas Jefferson University Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301114495 | MI | MD | Psychosomatic Medicine Physician |
| C1-0011038 | DE | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jefferson University Physicians | Current | Accepting new patients | |
| Christiana Care Health Services Inc | Past | Accepting new patients | |
| Christiana Care Health Services, Inc | Past | Accepting new patients |
Locations
500 University Dr
#A410
Hershey, PA 17033
Phone (717) 531-8131
833 Chestnut St
Ste 210
Philadelphia, PA 19107
Phone (215) 955-5638
925 Chestnut St
Fl 6
Philadelphia, PA 19107
Phone (215) 955-6760
1020 Sansom St
Ste 1652
Philadelphia, PA 19107
Phone (215) 955-5379
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/5c7467fb-60f9-4172-add4-57667a5dfcfa/
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.
-
- General Practice Physician
- Philadelphia, PA
- NPI 1326093675
-
- Infectious Disease Physician
- Wilmington, DE
- NPI 1326022476
-
- Cardiovascular Disease Physician
- Newark, DE
- NPI 1003850504
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Philadelphia, PA
- NPI 1215916002
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242086400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1545868800000",
"number": "1528292091",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3621 S STATE ST",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481081633",
"telephone_number": "734-647-5299"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 EAST MEDICAL CENTER DR",
"address_2": "9TH FLOOR UNIVERSITY HOSPITAL RECP D",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481095118",
"telephone_number": "734-936-9760"
}
],
"practiceLocations": [
{
"address_1": "2501 N 3rd St",
"address_purpose": "LOCATION",
"city": "Harrisburg",
"state": "PA",
"postal_code": "171101904",
"country_code": "US",
"telephone_number": "717-782-4734",
"fax_number": "717-782-4727",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARTIN",
"first_name": "CHRISTOPHER",
"middle_name": "ROBERT",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-05-12",
"last_updated": "2018-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0015X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychosomatic Medicine",
"state": "MI",
"license": "4301114495",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "PA",
"license": "MD449659",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "DE",
"license": "C1-0011038",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MI",
"license": "4301114495",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ann Arbor, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2018; 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.