NPIMap

Individual provider Active NPI

Ryan Kent Martiniuk, MD

  • Family Medicine Physician
  • Pearisburg, VA
National Provider Identifier
1639608367
Registry record updated Aug 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101269812 Issued in VA
Practice address
159 Hartley Way
Pearisburg, VA 24134-2471
Phone
(540) 921-6000
Fax
(540) 921-5606
NPI assigned
Jun 6, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X 0101269812 VA Primary

Addresses

Primary practice location

159 Hartley Way
Pearisburg, VA 24134-2471

Mailing address

213 S Jefferson St Ste 1006
Roanoke, VA 24011-1713
Phone (540) 224-5715

Other practice location 1

5359 W Fullerton Ave
Chicago, IL 60639-1450
Phone (773) 836-2785

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rmartiniuk126058@direct.carilionclinic.org

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200826003804 VA Practitioner - Family Practice 1052738705 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Brody School of Medicine at East Carolina University, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carilion Giles Community HospitalGroup PAC ID 3678670221, 223 clinicians

Practice addresses (Care Compare)

159 Hartley Way
Pearisburg, VA 24134-2471
Phone (540) 921-6000

Hospital & facility affiliations

  • Carilion Home Care Services Home health agency, Radford, VA, CCN 497260
  • Carilion Giles Community Hospital Hospital, Pearisburg, VA, CCN 491302
  • Carilion New River Valley Medical Center Hospital, Christiansburg, VA, CCN 490042
  • Carilion Medical Center Hospital, Roanoke, VA, CCN 490024
  • Carilion Giles Community Hospital Nursing home, CCN 49Z302

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Carilion Medical Center CurrentSince Sep 13, 2020 Accepting new patients
Carilion Giles Community Hospital Current Accepting new patients
Carilion Medical Center CurrentSince Sep 13, 2020 Accepting new patients
Carilion Healthcare Corporation CurrentSince Sep 13, 2020 Accepting new patients
Carilion Healthcare Corporation CurrentSince Sep 13, 2020 Accepting new patients
Carilion Rockbridge Community Hospital Family Medicine CurrentSince Sep 13, 2020 Accepting new patients
Carilion Giles Community Hospital CurrentSince Sep 13, 2020 Accepting new patients
Carilion Rockbridge Community Hospital CurrentSince Sep 13, 2020 Accepting new patients
Carilion Giles Community Hospital CurrentSince Sep 13, 2020 Accepting new patients

Locations

1 Health Cir
Lexington, VA 24450
Phone (540) 458-3300

159 Hartley Way
Pearisburg, VA 24134
Phone (540) 921-6000

6415 Peters Creek Rd
Roanoke, VA 24019
Phone (703) 562-2110

1906 Belleview Ave SE
Roanoke, VA 24014
Phone (540) 853-0222

213 S Jefferson St
Ste 625
Roanoke, VA 24011
Phone (540) 224-5677

213 S Jefferson St
Ste 1006
Roanoke, VA 24011
Phone (540) 224-5353

2017 Jefferson St SW
Roanoke, VA 24014
Phone (540) 981-7128

180 Floyd Ave
Rocky Mount, VA 24151
Phone (540) 483-5277

Organizations & group practices 9

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.

Hospital & facility affiliations 8

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": "1496707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660262400000",
    "number": "1639608367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 S JEFFERSON ST STE 1006",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240111713",
            "telephone_number": "540-224-5715",
            "fax_number": "540-224-5684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "159 HARTLEY WAY",
            "city": "PEARISBURG",
            "state": "VA",
            "postal_code": "241342471",
            "telephone_number": "540-921-6000",
            "fax_number": "540-921-5606"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5359 W Fullerton Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606391450",
            "country_code": "US",
            "telephone_number": "773-836-2785",
            "fax_number": "773-836-7381",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTINIUK",
        "first_name": "RYAN",
        "middle_name": "KENT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-06",
        "last_updated": "2022-08-12",
        "certification_date": "2022-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101269812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rmartiniuk126058@direct.carilionclinic.org",
            "affiliation": "N",
            "endpointDescription": "rmartiniuk126058@direct.carilionclinic.org",
            "address_1": "159 Hartley Way",
            "city": "Pearisburg",
            "state": "VA",
            "country_code": "US",
            "postal_code": "241342471",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pearisburg, VA

Sources for this page

Verify at the official NPI Registry.