NPIMap

Individual provider Active NPI

Daniel S Martin, MD

  • Family Medicine Physician
  • Springfield, PA
National Provider Identifier
1598767816
Registry record updated Feb 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD417368 Issued in PA
Practice address
9 N Brookside Rd
Springfield, PA 19064-2527
Phone
(610) 543-5300
Fax
(610) 543-3124
NPI assigned
Jun 1, 2005
Last updated
Feb 8, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD417368 PA Primary

Addresses

Primary practice location

9 N Brookside Rd
Springfield, PA 19064-2527

Mailing address

9 N Brookside Rd
Springfield, PA 19064-2527
Phone (610) 543-5400

Other identifiers 2

IdentifierTypeStateIssuer
0018278900005MedicaidPA
080189416OtherRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100708000376 PA Practitioner - Family Practice 8325179369 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Jefferson Medical College of Thomas Jefferson University, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Penn Medicine-PmaGroup PAC ID 6507269370, 55 clinicians

Practice addresses (Care Compare)

150 Monument Rd
Suite 400
Bala Cynwyd, PA 19004-1725
Phone (610) 747-3470

9 N Brookside Rd
Springfield, PA 19064-2527
Phone (610) 543-5400

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Penn Medicine-Pma CurrentSince Jan 25, 2022 Accepting new patients
Penn Medicine-Pma CurrentSince Jan 25, 2022 Accepting new patients
Clinical Specialty Associates Current Accepting new patients
Clinical Care Associates of the University of Pennsylvania Health Syst Family Medicine CurrentSince Jun 16, 2022 Accepting new patients
Crossroads Hospice of Philadelphia Family Medicine CurrentSince Jul 1, 2018 Accepting new patients
Clinical Care Associates of the University of Pennsylvania Health CurrentSince Jun 16, 2022 Accepting new patients
Clinical Specialty Associates CurrentSince Jun 1, 2025 Accepting new patients
Clinical Specialty Associates CurrentSince Jun 1, 2025 Accepting new patients
Clinical Care Associates of the University of Pennsylvania Health Family Medicine Current Accepting new patients
Washington Hospital Past Accepting new patients
Broomall Healthcare Group, Inc. Past Accepting new patients

Locations

150 Monument Rd
Ste 400
Bala Cynwyd, PA 19004
Phone (610) 747-3470

301 W Chester Pike
Ste 201
Havertown, PA 19083
Phone (610) 853-2900

826 Main St
Ste 100
Phoenixville, PA 19460
Phone (610) 933-8000

523 Plymouth Rd
Ste 225
Plymouth Mtng, PA 19462
Phone (215) 956-5110

9 N Brookside Rd
Springfield, PA 19064
Phone (610) 543-5300

701 E Marshall St
West Chester, PA 19380
Phone (610) 431-5000

777 Township Line Rd
Ste 200
Yardley, PA 19067
Phone (215) 860-0775

Interoperability endpoints

  • FHIR API: https://ssproxy.pennhealth.com/PRD-FHIR/api/FHIR/R4/

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Broomall ManorBroomall, PA, CCN 395202 Skilled nursing facility Adp of the SNF Apr 12, 2008

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 12

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644278400000",
    "number": "1598767816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 N BROOKSIDE RD",
            "city": "SPRINGFIELD",
            "state": "PA",
            "postal_code": "190642527",
            "telephone_number": "610-543-5400",
            "fax_number": "610-543-3124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 N BROOKSIDE RD",
            "city": "SPRINGFIELD",
            "state": "PA",
            "postal_code": "190642527",
            "telephone_number": "610-543-5300",
            "fax_number": "610-543-3124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "DANIEL",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-01",
        "last_updated": "2022-02-08",
        "certification_date": "2022-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD417368",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0018278900005",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "080189416",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, PA

Sources for this page

Verify at the official NPI Registry.