Active NPI
Martha Kenyon Nicholson, MD
- Hospitalist Physician
- Valhalla, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 336971
- Practice address
- 100 Woods Rd
Valhalla, NY 10595-1530 - Phone
- (914) 493-7000
- NPI assigned
- Nov 20, 2006
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | 336971 | NY | Primary |
| Pediatrics Physician | 208000000X | 336971 | NY | |
| Pediatrics Physician | 208000000X | A63320 | CA | |
| Pediatric Cardiology Physician | 2080P0202X | A63320 | CA | |
| Hospitalist Physician | 208M00000X | A63320 | CA |
Addresses
Primary practice location
100 Woods Rd
Valhalla, NY 10595-1530
Mailing address
100 Woods Rd
Valhalla, NY 10595-1530
Phone (914) 493-7000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A633200 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, DE, CT, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- Education
- University of California, Davis School of Medicine, 1996
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1 Hospital PLZ
Stamford, CT 06902-3602
1 Omega Dr
Stamford, CT 06907-2336
575 Lexington Ave
New York, NY 10022-6150
PO Box
New York, NY 10087
PO Box
Suite 191
Rockland, DE 19732
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A63320 | CA | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Permanente Medical Group, Inc | Current | Accepting new patients | |
| Stanford Health Care | Current | Accepting new patients | |
| Permanente Medical Group Inc | Pediatrics | Current | Accepting new patients |
| Stanford Health Care | Current | Accepting new patients | |
| Stanford Health Care | Pediatrics | Current | Accepting new patients |
| The Nemours Foundation | Current | Accepting new patients | |
| LPCH Medical Group Div of Lucile | Pediatrics | Current | Accepting new patients |
| Permanente Medical Group Inc | Pediatrics | Current | Accepting new patients |
| The Nemours Foundation | Current | Accepting new patients |
Locations
750 Auburn Ravine Rd
Auburn, CA 95603
Phone (530) 823-6131
4753 W Shaw Ave
Ste 101
Fresno, CA 93722
Phone (559) 277-8738
900 N Douty St
Hanford, CA 93230
Phone (559) 587-9014
1800 Harrison St
Fl 7
Oakland, CA 94612
725 Welch Rd
Palo Alto, CA 94304
Phone (650) 497-8979
101 Monroe St
Petaluma, CA 94954
Phone (707) 763-4109
5820 Owens Dr
Bldg E
Pleasanton, CA 94588
Phone (925) 737-3785
1150 Veterans Blvd
Redwood City, CA 94063
Phone (650) 299-2015
901 Nevin Ave
Richmond, CA 94801
Phone (510) 307-1500
930 W Main St
Ripon, CA 95366
Phone (209) 599-4221
501 J St
Sacramento, CA 95814
Phone (916) 497-3000
2238 Geary Blvd
San Francisco, CA 94115
Phone (415) 833-2200
2200 Ofarrell St
San Francisco, CA 94115
Phone (415) 202-2000
710 Lawrence Expy
Santa Clara, CA 95051
Phone (408) 236-6400
5615 Scotts Valley Dr
Scotts Valley, CA 95066
Phone (831) 430-2700
300 Pasteur Dr
Stanford, CA 94305
Phone (650) 498-5710
7373 West Ln
Stockton, CA 95210
Phone (209) 476-2000
975 Sereno Dr
Vallejo, CA 94589
Phone (707) 651-1000
1425 S Main St
Walnut Creek, CA 94596
Phone (925) 295-4130
320 N Crawford St
Willows, CA 95988
Phone (530) 934-2834
1600 Rockland Rd
Wilmington, DE 19803
Organizations & group practices 11
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.
-
- Multi-Specialty Clinic/Center
- Wilmington, DE
- NPI 1366594699
-
- Internal Medicine Physician
- New York, NY
- NPI 1124170212
-
- General Practice Physician
- Stamford, CT
- NPI 1154633980
-
- Clinical Medical Laboratory
- San Jose, CA
- NPI 1497971584
-
- Radiation Oncology Physician
- Pleasanton, CA
- NPI 1124561758
-
- Specialty Pharmacy
- Mountain View, CA
- NPI 1760366132
-
- Children's Hospital
- Wilmington, DE
- NPI 1467505073
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788480000000",
"number": "1578637880",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 WOODS RD",
"city": "VALHALLA",
"state": "NY",
"postal_code": "105951530",
"telephone_number": "914-493-7000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 WOODS RD",
"city": "VALHALLA",
"state": "NY",
"postal_code": "105951530",
"telephone_number": "914-493-7000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NICHOLSON",
"first_name": "MARTHA",
"middle_name": "KENYON",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-20",
"last_updated": "2026-09-04",
"certification_date": "2026-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "NY",
"license": "336971",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "336971",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A63320",
"primary": false
},
{
"code": "2080P0202X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Cardiology",
"state": "CA",
"license": "A63320",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "CA",
"license": "A63320",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A633200",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Valhalla, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 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.
- 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.