Martin Jay Collen, M.D.

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

00G210320 Issued in CA

Practice address

36320 Inland Valley Dr
Ste. 209
Wildomar, CA 92595-7512

Phone

(951) 203-1538

Fax

(951) 789-7610

NPI assigned

Oct 4, 2006

Last updated

Jun 9, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

85.48 of 100Reported as group

Quality

56.38

Improvement activities

40

Cost

82.89

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Homan a. Zadeh, M.D., M.P.H., Inc.

  • Gastroenterology Physician
  • Palm Springs, CA
  • NPI 1891026373
  Medicare reassignment NPD
• Martin J. Collen M.D. Inc.

  • Gastroenterology Physician
  • Riverside, CA
  • NPI 1679700579
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244505600000",
    "number": "1578659249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6647 HAWARDEN DR",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925065111",
            "telephone_number": "951-789-1483",
            "fax_number": "951-789-7610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36320 INLAND VALLEY DR",
            "address_2": "STE. 209",
            "city": "WILDOMAR",
            "state": "CA",
            "postal_code": "925957512",
            "telephone_number": "951-203-1538",
            "fax_number": "951-789-7610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLEN",
        "first_name": "MARTIN",
        "middle_name": "JAY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2009-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "00G210320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mariah Cochran
• Joseff Daniel Cody
• Lexiee Cogan
• Carol Joy Cole, LCSW
• Joshua Colleasure
• Cassandra Collins, BCBA
• Jeffrey Connor, O.D.
• Bailey Christine Connors
• Leann Coppola
• Shanyia Corbin

• Gastroenterology Physician in Wildomar, CA
• Providers in Wildomar, CA by specialty
• Gastroenterology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2009; 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.

Verify at the official NPI Registry.