Mac T Martin, DO

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

0102208375 Issued in VA

Practice address

1215 Lee St
Charlottesville, VA 22908-0816

Phone

(434) 924-9400

NPI assigned

Jun 19, 2017

Last updated

Aug 2, 2024By 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 3

Addresses

Medicare fee-for-service enrollment

Enrolled in AK, VA, CA, PA, MD, FL, KY, OH8 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 8

Specialty

Diagnostic Radiology

Education

Arizona College of Osteopathic Medicine Mid Western University, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Foundation Radiology Group PCGroup PAC ID 3779683537, 90 clinicians

University Hospitals Medical Group IncGroup PAC ID 4789682493, 2,248 clinicians

University of Virginia Physicians GroupGroup PAC ID 4880590728, 1,685 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Uva Health Haymarket Medical Center Hospital, Haymarket, VA, CCN 490144
• Uva Health Prince William Medical Center Hospital, Manassas, VA, CCN 490045

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations (25 of 40)

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/14718/brand/4/csg/1/fhir/r4
• FHIR API: https://fhir-myrecord.cerner.com/r4/29a5ccea-f4ab-4447-a191-56b20695970f/
• FHIR API: https://fhir-myrecord.cerner.com/r4/a36dfa71-4dd3-4608-9cfb-c7a63ade5531/

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.

• University of Virginia Physicians Group

  • Sports Medicine (Neuromusculoskeletal Medicine) Physician
  • Charlottesville, VA
  • NPI 1033138250
  Medicare reassignment Care Compare group NPD
• Foundation Radiology Group PC

  • Diagnostic Radiology Physician
  • Wexford, PA
  • NPI 1740482686

  AK, FL, MD

  Medicare reassignment Care Compare group NPD
• University Hospitals Medical Group Inc

  • Multi-Specialty Clinic/Center
  • Cleveland, OH
  • NPI 1669499414

  AK, Diagnostic Radiology

  Medicare reassignment Care Compare group NPD
• Augusta Health Care, Inc.

  • Diagnostic Radiology Physician
  • Fishersville, VA
  • NPI 1720717044
  Medicare reassignment NPD
• Augusta Medical Group

  • General Practice Physician
  • Fishersville, VA
  • NPI 1245489590
  Medicare reassignment NPD
• University of Virginia Imaging, LLC

  dba UVa Imaging

  • Diagnostic Radiology Physician
  • Charlottesville, VA
  • NPI 1720233596
  Medicare reassignment NPD
• Adventist Health Delano

  dba Delano Regional Medical Center

  • Registered Dietitian
  • Delano, CA
  • NPI 1578798047
  Medicare reassignment NPD
• Adventist Health Medical Center Tehachapi

  dba Adventist Health Medical Center Tehachapi Valley

  • Critical Access Hospital
  • Tehachapi, CA
  • NPI 1275538530
  Medicare reassignment NPD
• Adventist Health Tulare

  dba Tulare Regional Medical Center

  • General Acute Care Hospital
  • Tulare, CA
  • NPI 1801366711
  Medicare reassignment NPD
• Alaska Imaging Associates, LLC

  dba Northern Lights Imaging

  • Diagnostic Radiology Physician
  • Anchorage, AK
  • NPI 1063466688
  Medicare reassignment NPD
• Alaska Radiology Associates Inc

  • Body Imaging Physician
  • Anchorage, AK
  • NPI 1003803214
  Medicare reassignment NPD
• Arcadia Radiology Medical Group a Professional Corporation

  • Diagnostic Radiology Physician
  • Arcadia, CA
  • NPI 1841228764

  AK

  Medicare reassignment NPD

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

• Uva Prince William Medical Center

  dba UVA Health Haymarket Medical Center

  • General Acute Care Hospital
  • Haymarket, VA
  • NPI 1124369137
  Care Compare affiliation
• Uva Prince William Medical Center

  dba UVA Health Prince William Medical Center

  • General Acute Care Hospital
  • Manassas, VA
  • NPI 1417005760
  Care Compare affiliation

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

{
    "created_epoch": "1497830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722556800000",
    "number": "1619407913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9007",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229069007",
            "telephone_number": "434-295-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 LEE ST",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229080816",
            "telephone_number": "434-924-9400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 Fisher Street",
            "address_2": "Keesler Medical Center Keesler AFB",
            "address_purpose": "LOCATION",
            "city": "APO",
            "state": "AA",
            "postal_code": "39534",
            "country_code": "US",
            "telephone_number": "228-376-3728",
            "country_name": "United States",
            "address_type": "MIL"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "MAC",
        "middle_name": "T",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-19",
        "last_updated": "2024-08-02",
        "certification_date": "2024-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "20A22422",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NE",
            "license": "1859",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VA",
            "license": "0102208375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brenda Hatfield Martin, C.O.T.A/L
• Brenna Michelle Martin
• Charles Steven Martin II, B.A, QMHP
• Lauren B Martin, AG-ACNP
• Linda W Martin, M.D.
• Marcus L. Martin, M.D.
• Patricia K Martin, PH.D.
• Peter W Martin, NP
• Tamriage Martin
• Sarah Martina

• Diagnostic Radiology Physician in Charlottesville, VA
• Providers in Charlottesville, VA by specialty
• Diagnostic Radiology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2024; 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.