Individual provider Active NPI

Marty Lee Schmidt, MD

  • Pediatrics Physician
  • Hobbs, NM
National Provider Identifier
1639130248
Registry record updated Apr 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD20070006 Issued in NM
Practice address
2410 N Fowler St
Hobbs, NM 88240-2312
Phone
(575) 392-2040
Fax
(575) 392-6752
NPI assigned
Mar 31, 2006
Last updated
Apr 1, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 0422840 KS
Pediatrics Physician 208000000X MD20070006 NM Primary

Addresses

Primary practice location

2410 N Fowler St
Hobbs, NM 88240-2312

Mailing address

2410 N Fowler St
Hobbs, NM 88240-2312
Phone (575) 392-2040

Other practice location 1

111 N Elm St
Nevada, MO 64772-2609
Phone (417) 667-9000

Other identifiers 5

IdentifierTypeStateIssuer
02926369MedicaidNM
100126120BMedicaidKS
632400OtherFIRSTGUARD
2033619828MedicaidMO
24709030OtherMOBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM, TX, AL3 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
I20110517000163 NM Practitioner - Pediatric Medicine 9234315847 Reassigns benefits to 1 organization
I20161018000935 TX Practitioner - Pediatric Medicine 9234315847
I20211109002569 AL Practitioner - Pediatric Medicine 9234315847 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
University of Kansas School of Med (KC/Wich/Sal), 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southview Medical Clinic LLCGroup PAC ID 7315188281, 5 clinicians

Practice addresses (Care Compare)

307 Main St NW
Hanceville, AL 35077-5076

307 Main St SW
Hanceville, AL 35077-5476
Phone (256) 352-4767

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0422840KSMDPediatrics Physician
MD20070006NMMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southview Medical Clinic LLC CurrentSince Aug 6, 2021 Accepting new patients
American Medical Group Inc. CurrentSince Feb 8, 2011 Accepting new patients
Horizon Medical Clinic LLC CurrentSince Aug 1, 2022 Accepting new patients
Main Street Clinic, LLC Pediatrics CurrentSince Mar 1, 2023 Accepting new patients
Smart Care, LLC Pediatrics CurrentSince Jul 11, 2023 Accepting new patients

Locations

307 Main St NW
Hanceville, AL 35077
Phone (256) 352-4767

307 Main St SW
Hanceville, AL 35077
Phone (256) 352-0188

2345 2nd Ave E
Ste B
Oneonta, AL 35121
Phone (205) 625-3332

1508 Cogswell Ave
Pell City, AL 35125
Phone (205) 814-1598

801 North St E
Talladega, AL 35160
Phone (256) 362-3005

2410 N Fowler St
Hobbs, NM 88240
Phone (505) 392-2040

2410 N Fowler St
Ste B
Hobbs, NM 88240
Phone (505) 392-2040

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1911/brand/1/csg/1/fhir/r4
  • Direct secure messaging: marty.schmidt@540513290878980.direct.elationemr.com

Organizations & group practices 5

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": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554076800000",
    "number": "1639130248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2410 N FOWLER ST",
            "city": "HOBBS",
            "state": "NM",
            "postal_code": "882402312",
            "telephone_number": "575-392-2040",
            "fax_number": "575-392-6752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2410 N FOWLER ST",
            "city": "HOBBS",
            "state": "NM",
            "postal_code": "882402312",
            "telephone_number": "575-392-2040",
            "fax_number": "575-392-6752"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 N Elm St",
            "address_purpose": "LOCATION",
            "city": "Nevada",
            "state": "MO",
            "postal_code": "647722609",
            "country_code": "US",
            "telephone_number": "417-667-9000",
            "fax_number": "417-667-9029",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHMIDT",
        "first_name": "MARTY",
        "middle_name": "LEE",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-31",
        "last_updated": "2019-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "KS",
            "license": "0422840",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NM",
            "license": "MD20070006",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02926369",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100126120B",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRSTGUARD",
            "identifier": "632400",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2033619828",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "24709030",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hobbs, NM

Sources for this page

Verify at the official NPI Registry.