Active NPI
Connor Charles Martin, MD
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Tucson, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- License
- 69075
- Practice address
- 4582 N 1St Ave Ste 170
Tucson, AZ 85718-8607 - Phone
- (520) 318-6035
- Fax
- (520) 795-9953
- NPI assigned
- Apr 4, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | 69075 | AZ | Primary |
Addresses
Primary practice location
4582 N 1St Ave Ste 170
Tucson, AZ 85718-8607
Mailing address
4881 E Grant Rd
Tucson, AZ 85712-2704
Phone (520) 829-6776
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pain Management
- Education
- Michigan State University College of Human Medicine, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4881 E Grant Rd
Tucson, AZ 85712-2704
Phone (520) 829-6776
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 45.68 of 100
- Quality
- 40.49
- Promoting interoperability
- 0
- Improvement activities
- 30
- Cost
- 74.27
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pain Institute of Southern Arizona Pisa PC | Pain Medicine | Current | Accepting new patients |
| Pain Institute of Southern Arizona Pisa PC | Pain Medicine | Current | Accepting new patients |
Locations
4881 E Grant Rd
Tucson, AZ 85712
Phone (520) 829-6776
4582 N 1st Ave
Ste 170
Tucson, AZ 85718
Phone (520) 505-3766
4881 E Grant Rd
Ste 101
Tucson, AZ 85712
Phone (520) 829-6776
4582 N 1st Ave
Tucson, AZ 85718
Interoperability endpoints
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.72783
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 and National Provider Directory roles.
-
- Pain Medicine (Anesthesiology) Physician
- Tucson, AZ
- NPI 1861575078
-
dba Regional Pain Institute
- Pain Medicine (Anesthesiology) Physician
- San Tan Valley, AZ
- NPI 1780268912
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Benson, AZ
- NPI 1336118322
-
- General Acute Care Hospital
- Tucson, AZ
- NPI 1174512792
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684195200000",
"number": "1619473055",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4881 E GRANT RD",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857122704",
"telephone_number": "520-829-6776",
"fax_number": "520-829-6661"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4582 N 1ST AVE STE 170",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857188607",
"telephone_number": "520-318-6035",
"fax_number": "520-795-9953"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "CONNOR",
"middle_name": "CHARLES",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-04-04",
"last_updated": "2023-05-16",
"certification_date": "2023-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "2081P2900X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": "AZ",
"license": "69075",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2023; 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.