Individual provider Active NPI

Richard Eugene Martin, MD

  • Internal Medicine Physician
  • Pryor, OK
National Provider Identifier
1619046323
Registry record updated Sep 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
10200 Issued in OK
Practice address
122 N Bailey St
Pryor, OK 74361-4202
Phone
(918) 825-0216
Fax
(918) 824-1919
NPI assigned
Nov 7, 2006
Last updated
Sep 29, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 10200 OK Primary

Addresses

Primary practice location

122 N Bailey St
Pryor, OK 74361-4202

Mailing address

122 N Bailey St
Pryor, OK 74361-4202
Phone (918) 825-0216

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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

Enrollment IDStateProvider typePAC IDDetails
I20101103001275 OK Practitioner - Internal MedicinePractitioner - Sleep Medicine 8325138308 Reassigns benefits to 1 organization
Practice locations: Pryor, OK

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Sleep Medicine
Education
University of Oklahoma College of Medicine, 1970
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

122 N Bailey St
Pryor, OK 74361-4202
Phone (918) 825-0216

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10200OKMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Martin Clinic, PLLC Internal Medicine CurrentSince Dec 16, 2025 Accepting new patients
Mayes County Hma, LLC Past Accepting new patients

Locations

122 N Bailey St
Pryor, OK 74361
Phone (918) 825-0216

Organizations & group practices 2

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 2

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": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790640000000",
    "number": "1619046323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 N BAILEY ST",
            "city": "PRYOR",
            "state": "OK",
            "postal_code": "743614202",
            "telephone_number": "918-825-0216",
            "fax_number": "918-824-1919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 N BAILEY ST",
            "city": "PRYOR",
            "state": "OK",
            "postal_code": "743614202",
            "telephone_number": "918-825-0216",
            "fax_number": "918-824-1919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "RICHARD",
        "middle_name": "EUGENE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-07",
        "last_updated": "2026-09-29",
        "certification_date": "2025-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OK",
            "license": "10200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pryor, OK

Sources for this page

Verify at the official NPI Registry.