Active NPI
Patricia M. Martin, M.D.
- Cardiovascular Disease Physician
- Hinsdale, IL
National Provider Identifier
1578568341
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 036058925
- Practice address
- 333 Chestnut St
Ste 101
Hinsdale, IL 60521-3248 - Phone
- (630) 325-9010
- Fax
- (630) 325-9023
- NPI assigned
- Jun 16, 2005
- Last updated
- Mar 23, 2015
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 036058925 | IL | Primary |
Addresses
Primary practice location
333 Chestnut St
Ste 101
Hinsdale, IL 60521-3248
Mailing address
333 Chestnut St
Ste 101
Hinsdale, IL 60521-3248
Phone (630) 325-9010
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036058925 | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036058925 | IL | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adventist Bolingbrook Hospital | Past | Accepting new patients | |
| University of Chicago | Past | Accepting new patients | |
| Adventist Health Partners, Inc | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Adventhealth Bolingbrook
- Psychiatric Hospital Unit
- Bolingbrook, IL
- NPI 1013372440
-
dba Hinsdale Primary Care
- Family Medicine Physician
- Hinsdale, IL
- NPI 1952339939
-
- Multi-Specialty Clinic/Center
- Chicago, IL
- NPI 1821048786
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1427068800000",
"number": "1578568341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 CHESTNUT ST",
"address_2": "STE 101",
"city": "HINSDALE",
"state": "IL",
"postal_code": "605213248",
"telephone_number": "630-325-9010",
"fax_number": "630-325-9023"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 CHESTNUT ST",
"address_2": "STE 101",
"city": "HINSDALE",
"state": "IL",
"postal_code": "605213248",
"telephone_number": "630-325-9010",
"fax_number": "630-325-9023"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "PATRICIA",
"middle_name": "M.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-06-16",
"last_updated": "2015-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "IL",
"license": "036058925",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036058925",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hinsdale, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.