Individual provider Active NPI

Martin Kress Weitzel, DO

  • Family Medicine Physician
  • Auburn, NY
National Provider Identifier
1629189816
Registry record updated Mar 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
170457 Issued in NY
Practice address
91 Columbus St
Auburn, NY 13021
Phone
(315) 255-3944
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 170457 NY Primary
Emergency Medicine Physician 207P00000X 170457 NY

Addresses

Primary practice location

91 Columbus St
Auburn, NY 13021

Mailing address

91 Columbus St
Auburn, NY 13021
Phone (315) 255-3944

Other identifiers 1

IdentifierTypeStateIssuer
01023683MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20080422000275 NY Practitioner - Family PracticePractitioner - Geriatric PsychiatryPractitioner - Emergency Medicine 5496833105 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
68.51 of 100Reported as group
Quality
56.19
Improvement activities
40
Cost
75.36

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Port City Emergency Physicians LLP Emergency Medicine Current Accepting new patients
Saratoga Hospital Family Medicine CurrentSince Oct 17, 2022 Accepting new patients
Port City Emergency Physicians LLP Emergency Medicine CurrentSince Feb 6, 2011 Accepting new patients
Port City Emergency Physicians LLP Emergency Medicine CurrentSince Feb 6, 2011 Accepting new patients
Saratoga Hospital Family Medicine CurrentSince Oct 17, 2022 Accepting new patients
Scotia Glenville Family Medicine, P.C. Family Medicine Current Accepting new patients
Saratoga Hospital CurrentSince Oct 17, 2022 Accepting new patients
Saratoga Regional Medical , P.C CurrentSince Jun 16, 2018 Accepting new patients
Saratoga Hospital Current Accepting new patients
Saratoga Hospital CurrentSince Oct 17, 2022 Accepting new patients
Healthcare Partners of Saratoga LTD CurrentSince Jun 1, 2018 Accepting new patients
Saratoga Regional Medical , P.C Current Accepting new patients
Saratoga Hospital Current Accepting new patients
Active Physical Therapy Solutions PC PastSince Jan 11, 2009 Accepting new patients

Locations

75 Remit Dr
Chicago, IL 60675

510 Geyser Rd
Ballston Spa, NY 12020
Phone (518) 289-2720

112 Charlton Rd
Charlton, NY 12019
Phone (518) 399-7723

2911 State Route 9
Ste 1
Malta, NY 12020
Phone (518) 363-8815

6 Medical Park Dr
Malta, NY 12020
Phone (518) 289-2020

110 W 6th St
Oswego, NY 13126
Phone (315) 349-5511

15 Maple Dell
Ste 1
Saratoga Springs, NY 12866
Phone (518) 583-7400

211 Church St
Saratoga Springs, NY 12866
Phone (518) 583-8461

3044 Route 50
Saratoga Springs, NY 12866
Phone (518) 886-5800

24 Hamilton St
Saratoga Springs, NY 12866
Phone (518) 886-5600

Organizations & group practices 14

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 14

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301011200000",
    "number": "1629189816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91 COLUMBUS ST",
            "city": "AUBURN",
            "state": "NY",
            "postal_code": "13021",
            "telephone_number": "315-255-3944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91 COLUMBUS ST",
            "city": "AUBURN",
            "state": "NY",
            "postal_code": "13021",
            "telephone_number": "315-255-3944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEITZEL",
        "first_name": "MARTIN",
        "middle_name": "KRESS",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2011-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "170457",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "170457",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01023683",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, NY

Sources for this page

Verify at the official NPI Registry.