Individual provider Active NPI

Elizabeth A Martin, MD

  • Ophthalmology Physician
  • Silverdale, WA
National Provider Identifier
1609219021
Registry record updated Sep 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD61404207 Issued in WA
Practice address
3260 NW Mount Vintage Way
Silverdale, WA 98383-6000
Phone
(360) 698-9500
Fax
(360) 698-9900
NPI assigned
Apr 16, 2013
Last updated
Sep 21, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Glaucoma Specialist (Ophthalmology) Physician 207WX0009X MD61404207 WA
Ophthalmology Physician 207W00000X MD61404207 WA Primary

Addresses

Primary practice location

3260 NW Mount Vintage Way
Silverdale, WA 98383-6000

Mailing address

3260 NW Mount Vintage Way
Silverdale, WA 98383-6000
Phone (360) 698-9500

Other practice location 1

1160 W Michigan St
Indianapolis, IN 46202-5209
Phone (317) 944-2020

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address emartin12@direct.iuhealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT, WA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170630002660 UT Practitioner - Ophthalmology 2961636113 Reassigns benefits to 2 organizations
I20230605002458 WA Practitioner - Ophthalmology 2961636113 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Washington School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Clinic of Bremerton, Inc. P.S.Group PAC ID 1254229248, 7 clinicians

Practice addresses (Care Compare)

3260 NW Mount Vintage Way
Silverdale, WA 98383-6000
Phone (360) 698-9500

Merit-based Incentive Payment System (MIPS)

Final score
93.28 of 100Reported as group
Quality
100
Improvement activities
40
Cost
77.61

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery219

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Utah Pediatric Services Current Accepting new patients
University of Utah Pediatric Services CurrentSince Jul 1, 2017 Accepting new patients
University of Utah Adult Services CurrentSince Jul 1, 2017 Accepting new patients
University of Utah Pediatric Services CurrentSince Jul 1, 2017 Accepting new patients
Eye Clinic of Bremerton, Inc. P.S. Ophthalmology CurrentSince Jun 2, 2023 Accepting new patients
University of Utah Adult Services CurrentSince Jul 1, 2017 Accepting new patients
University of Utah Adult Services Current Accepting new patients
Major Hospital Ophthalmology Past Accepting new patients

Locations

65 S Mario Capecchi Dr
Salt Lake City, UT 84132
Phone (801) 581-2352

50 N Medical Dr
Slc, UT 84132
Phone (801) 581-2292

100 N Mario Capecchi Dr
Slc, UT 84113
Phone (801) 587-7109

3260 NW Mount Vintage Way
Silverdale, WA 98383
Phone (360) 698-9500

Interoperability endpoints

  • Direct secure messaging: emartin50451@direct.eskenazihealth.edu
  • Direct secure messaging: emartin@aels.intellechartdirect.net
  • Direct secure messaging: emartin12@direct.iuhealth.org

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1366070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695254400000",
    "number": "1609219021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3260 NW MOUNT VINTAGE WAY",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983836000",
            "telephone_number": "360-698-9500",
            "fax_number": "360-698-9900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3260 NW MOUNT VINTAGE WAY",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983836000",
            "telephone_number": "360-698-9500",
            "fax_number": "360-698-9900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1160 W Michigan St",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462025209",
            "country_code": "US",
            "telephone_number": "317-944-2020",
            "fax_number": "317-962-5580",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "ELIZABETH",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-16",
        "last_updated": "2023-09-21",
        "certification_date": "2023-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0009X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Glaucoma Specialist",
            "state": "WA",
            "license": "MD61404207",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "WA",
            "license": "MD61404207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "emartin12@direct.iuhealth.org",
            "affiliation": "N",
            "address_1": "1160 W Michigan St",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462025209",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Silverdale, WA

Sources for this page

Verify at the official NPI Registry.