Individual provider Active NPI

Martinson A Ansah, MD

  • Internal Medicine Physician
  • Huntington, WV
National Provider Identifier
1629033246
Registry record updated Nov 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
42883 Issued in TN
Practice address
1249 15TH St
Huntington, WV 25701
Phone
(304) 691-1000
Fax
(304) 691-1693
NPI assigned
Apr 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 21665 WV
Internal Medicine Physician 207R00000X 35.085353 OH
Internal Medicine Physician 207R00000X 42883 TN Primary

Addresses

Primary practice location

1249 15TH St
Huntington, WV 25701

Mailing address

1249 15TH St
Huntington, WV 25701
Phone (304) 691-1000

Other identifiers 3

IdentifierTypeStateIssuer
2490746MedicaidOH
3810000237MedicaidWV
64083991MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, NJ, NE3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20080508000247 TN Practitioner - Internal Medicine 9234100322 Reassigns benefits to 6 organizations
I20210413001780 NJ Practitioner - Internal Medicine 9234100322 Reassigns benefits to 1 organization
I20220322002446 NE Practitioner - Hospitalist 9234100322 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southeastern Physician Services PCGroup PAC ID 0042307852, 591 clinicians
West Tennessee Healthcare Hospitalists IncGroup PAC ID 1951735521, 98 clinicians
Hospitalist Physicians of New Jersey PAGroup PAC ID 3476859927, 162 clinicians

Practice addresses (Care Compare)

6019 Walnut Grove Rd
Memphis, TN 38120-2113
Phone (901) 226-5000

620 Skyline Dr
Jackson, TN 38301-3923
Phone (731) 541-4923

727 N Beers St
Holmdel, NJ 07733-1514
Phone (732) 739-5900

Hospital & facility affiliations

  • Jackson-Madison County General Hospital Hospital, Jackson, TN, CCN 440002
  • Dyersburg Regional Medical Center Hospital, Dyersburg, TN, CCN 440072
  • Baptist Memorial Hospital Hospital, Memphis, TN, CCN 440048
  • Volunteer Community Hospital Hospital, Martin, TN, CCN 440061
  • West Tennessee Healthcare Henry County Hospital Hospital, Paris, TN, CCN 440132

Merit-based Incentive Payment System (MIPS)

Final score
58.33 of 100Reported as individual
Quality
52.13
Improvement activities
0
Cost
66.42

Merit-based Incentive Payment System (MIPS)

Final score
80.07 of 100Reported as group
Quality
62.54
Promoting interoperability
98
Improvement activities
40
Cost
72.7

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.085353OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regional West Physicians Clinic Internal Medicine CurrentSince Dec 21, 2021 Accepting new patients
Summit Medical Group, PLLC Internal Medicine CurrentSince Dec 23, 2017 Accepting new patients
Emergency Medical Care Facilities PC CurrentSince Jan 7, 2020 Accepting new patients
Hospital Medicine Services of Tennessee PC Internal Medicine CurrentSince Jan 1, 2016 Accepting new patients
Hospitalist Physicians of New Jersey PA Internal Medicine CurrentSince Feb 1, 2021 Accepting new patients
Summit Medical Group, PLLC Internal Medicine CurrentSince Dec 23, 2017 Accepting new patients
Baptist Memorial Medical Group Inc CurrentSince Nov 5, 2013 Accepting new patients
Southeastern Physician Services PC Internal Medicine CurrentSince Sep 10, 2010 Accepting new patients
Baptist Memorial Medical Group Inc Internal Medicine CurrentSince Nov 5, 2013 Accepting new patients
West Tennessee Healthcare Hospitalists Inc CurrentSince Sep 25, 2019 Accepting new patients
Summit Medical Group,PLLC Internal Medicine Past Accepting new patients
Summit Medical Group PLLC PastSince Mar 24, 2024 Accepting new patients
Regional West Physicians Clinic Past Accepting new patients
West Tennessee Medical Group Inc Internal Medicine Past Accepting new patients
Baptist Memorial Hospital Past Accepting new patients
Apogee Medical Group Tennessee PC Internal Medicine PastSince Oct 8, 2023 Accepting new patients
Leconte Medical Center Past Accepting new patients

Locations

3911 Avenue B
Ste G200
Scottsbluff, NE 69361
Phone (308) 630-1355

3911 Avenue B
Ste 1100
Scottsbluff, NE 69361
Phone (308) 630-1355

4021 Avenue B
Scottsbluff, NE 69361
Phone (308) 630-1384

65 James St
Edison, NJ 08820
Phone (732) 321-7010

727 N Beers St
Holmdel, NJ 07733
Phone (732) 714-2700

36 Capital Way
Ste E
Atoka, TN 38004
Phone (901) 837-6801

650 Nuckolls Rd
Bolivar, TN 38008
Phone (731) 541-6834

2333 McCallie Ave
Chattanooga, TN 37404
Phone (423) 493-1387

2305 Chambliss Ave NW
Cleveland, TN 37311
Phone (423) 559-6000

400 E Tickle St
Dyersburg, TN 38024
Phone (731) 285-2410

106 Medical Center Blvd
Fayetteville, TN 37334
Phone (931) 438-1100

620 Skyline Dr
Jackson, TN 38301
Phone (731) 541-4923

1804 Highway 45 Byp
Ste 604
Jackson, TN 38305
Phone (731) 512-1273

367 Hospital Blvd
Jackson, TN 38305
Phone (731) 661-2000

1225 E Weisgarber Rd
Ste 200
Knoxville, TN 37909
Phone (865) 938-3627

1607 S Locust Ave
Lawrenceburg, TN 38464
Phone (731) 287-2244

8970 Winchester Rd
Memphis, TN 38125
Phone (901) 794-5806

7565 Dannaher Dr
Powell, TN 37849
Phone (865) 545-8000

742 Middle Creek Rd
Sevierville, TN 37862
Phone (865) 429-6100

1201 Bishop St
Union City, TN 38261
Phone (423) 698-6061

Interoperability endpoints

  • Direct secure messaging: mansah132684@direct.bmhcc.org

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 5

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": "1145318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541116800000",
    "number": "1629033246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1249 15TH ST",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "25701",
            "telephone_number": "304-691-1000",
            "fax_number": "304-691-1693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1249 15TH ST",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "25701",
            "telephone_number": "304-691-1000",
            "fax_number": "304-691-1693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANSAH",
        "first_name": "MARTINSON",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-18",
        "last_updated": "2018-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WV",
            "license": "21665",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35.085353",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "42883",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2490746",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810000237",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64083991",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington, WV

Sources for this page

Verify at the official NPI Registry.