NPIMap

Individual provider Active NPI

Douglas Joseph Martin, MD, PHD

  • Neuroradiology Physician
  • Cleveland, OH
National Provider Identifier
1639436900
Registry record updated Sep 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuroradiology PhysicianTaxonomy code 2085N0700X
License
35.136059 Issued in OH
Practice address
9500 Euclid Ave
Cleveland, OH 44195-0341
Phone
(216) 444-1084
NPI assigned
Apr 11, 2012
Last updated
Sep 23, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 35.136059 OH
Neuroradiology Physician 2085N0700X 35.136059 OH Primary

Addresses

Primary practice location

9500 Euclid Ave
Cleveland, OH 44195-0341

Mailing address

3 Pebblebrook LN
Moreland Hills, OH 44022-2300
Phone (507) 269-8869

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, NV2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190530002500 OH Practitioner - Diagnostic Radiology 8921303074 Reassigns benefits to 6 organizations
I20240830002410 NV Practitioner - Diagnostic Radiology 8921303074 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wooster Clinic LLCGroup PAC ID 6800708124, 290 clinicians
Cleveland ClinicGroup PAC ID 1850203555, 6,954 clinicians

Practice addresses (Care Compare)

1740 Cleveland Rd
Wooster, OH 44691-2204
Phone (330) 287-4500

9500 Euclid Ave
Cleveland, OH 44195-0001
Phone (216) 636-1768

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wooster Clinic, LLC CurrentSince Apr 17, 2024 Accepting new patients
Clinic Medical Services Company Diagnostic Radiology CurrentSince Apr 17, 2025 Accepting new patients
Clinic Medical Services Company LLC Diagnostic Radiology CurrentSince Apr 17, 2025 Accepting new patients
Cleveland Clinic Nevada Diagnostic Radiology CurrentSince Jun 20, 2024 Accepting new patients
Indian River Health Services Inc CurrentSince May 7, 2024 Accepting new patients
University Hospitals Medical Group Inc Diagnostic Radiology CurrentSince Jul 1, 2019 Accepting new patients
The Cleveland Clinic Foundation CurrentSince Apr 17, 2024 Accepting new patients
Indian River Health Services Inc CurrentSince May 7, 2024 Accepting new patients
Stanford Hospital and Clinics Past Accepting new patients
Lucile Salter Packard Children's Hospital at Stanford Past Accepting new patients
Lutheran Hospital Past Accepting new patients

Locations

888 W Bonneville Ave
Las Vegas, NV 89106
Phone (702) 263-9797

2420 Lake Ave
Ashtabula, OH 44004
Phone (216) 986-2919

9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270

11100 Euclid Ave
Cleveland Heights, OH 44106

6100 W Creek Rd
#35
Independence, OH 44131
Phone (216) 642-8165

6801 Brecksville Rd
Ste 20
Seven Hills, OH 44131
Phone (216) 445-3363

1740 Cleveland Rd
Wooster, OH 44691
Phone (330) 287-4500

Organizations & group practices 11

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 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": "1334102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727049600000",
    "number": "1639436900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 PEBBLEBROOK LN",
            "city": "MORELAND HILLS",
            "state": "OH",
            "postal_code": "440222300",
            "telephone_number": "507-269-8869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9500 EUCLID AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441950341",
            "telephone_number": "216-444-1084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "DOUGLAS",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "MD, PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-11",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": "35.136059",
            "primary": false
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "OH",
            "license": "35.136059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.