Individual provider Active NPI

Jessica Martin, M.D.

  • Diagnostic Radiology Physician
  • Cincinnati, OH
National Provider Identifier
1609282441
Registry record updated Dec 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
35.136224 Issued in OH
Practice address
234 Goodman St
Cincinnati, OH 45219
Phone
(513) 584-7355
Fax
(513) 584-0431
NPI assigned
Jul 1, 2014
Last updated
Dec 30, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Diagnostic Radiology Physician 2085R0202X 35.136224 OH Primary

Addresses

Primary practice location

234 Goodman St
Cincinnati, OH 45219

Mailing address

2830 Victory Pkwy
Cincinnati, OH 45206-1785
Phone (513) 585-6200

Other practice location 1

4777 E Galbraith Rd
Cincinnati, OH 45236-2725
Phone (513) 686-5446

Other practice location 2

4777 E Galbraith Rd
Cincinnati, OH 45236-2725
Phone (513) 686-5446

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, KY2 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
I20190521000638 OH Practitioner - Diagnostic Radiology 7719276096 Reassigns benefits to 1 organization
I20210322002736 KY Practitioner - Diagnostic Radiology 7719276096 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Louisville School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Professional Radiology IncGroup PAC ID 0941298764, 41 clinicians

Practice addresses (Care Compare)

4777 E Galbraith Rd
Cincinnati, OH 45236-2725
Phone (513) 872-4500

60 Mercy CT
Irvine, KY 40336-1331
Phone (606) 723-2115

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Radiology Inc. Diagnostic Radiology CurrentSince Jul 1, 2020 Accepting new patients
Seven Hills OB-GYN Associates LLC Diagnostic Radiology CurrentSince Jun 25, 2022 Accepting new patients
Seven Hills OB-GYN Associates, LLC CurrentSince Jun 25, 2022 Accepting new patients

Locations

60 Mercy Ct
Irvine, KY 40336
Phone (606) 723-2115

2123 Auburn Ave
#A28
Cincinnati, OH 45219
Phone (513) 585-0523

2139 Auburn Ave
Cincinnati, OH 45219
Phone (513) 585-0406

4030 Smith Rd
Ste 300
Cincinnati, OH 45209
Phone (513) 221-2544

4777 E Galbraith Rd
Cincinnati, OH 45236
Phone (513) 686-3000

4850 Red Bank Rd
Fl 3
Cincinnati, OH 45227
Phone (513) 221-2544

Interoperability endpoints

  • Direct secure messaging: jmartin131914@direct.bsmhealth.org

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.

Hospital & facility affiliations 1

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": "1404172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577664000000",
    "number": "1609282441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2830 VICTORY PKWY",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452061785",
            "telephone_number": "513-585-6200",
            "fax_number": "513-245-3672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 GOODMAN ST",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "45219",
            "telephone_number": "513-584-7355",
            "fax_number": "513-584-0431"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4777 E Galbraith Rd",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452362725",
            "country_code": "US",
            "telephone_number": "513-686-5446",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4777 E Galbraith Rd",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452362725",
            "country_code": "US",
            "telephone_number": "513-686-5446",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "JESSICA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-01",
        "last_updated": "2019-12-30",
        "certification_date": "2019-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": "35.136224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.