Individual provider Active NPI

Werner Martens, MD

  • Internal Medicine Physician
  • Norfolk, VA
National Provider Identifier
1669534871
Registry record updated Nov 29, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101022116 Issued in VA
Practice address
902 Graydon Ave
Norfolk, VA 23507-1208
Phone
(757) 622-1661
Fax
(757) 627-0704
NPI assigned
Dec 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0101022116 VA Primary

Addresses

Primary practice location

902 Graydon Ave
Norfolk, VA 23507-1208

Mailing address

902 Graydon Ave
Norfolk, VA 23507-1208
Phone (757) 622-1661

Other identifiers 10

IdentifierTypeStateIssuer
12073OtherVAOPTIMA
222838OtherMDIPA
016367OtherVAHEALTHKEEPERS
016367OtherVAANTHEM
6040985MedicaidVA
8902073MedicaidNC
12073OtherVASENTARA
222838OtherALLIANCE
222838OtherGEHA
222838OtherMAMSI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20100128000115 VA Practitioner - Internal Medicine 9133261373

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Loma Linda University School of Medicine, 1968
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

902 Graydon Ave
Norfolk, VA 23507-1208

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101022116VAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Robert Mann MD Werner Martens MC R Michael Camp MD & William T Naylor Internal Medicine CurrentSince Jun 30, 1981 Accepting new patients
Integrated Medical Services PLC Past Accepting new patients

Locations

902 Graydon Ave
Norfolk, VA 23507
Phone (757) 622-1661

397 Little Neck Rd
Ste 314
Virginia Beach, VA 23452
Phone (757) 321-8160

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196294400000",
    "number": "1669534871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 GRAYDON AVE",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235071208",
            "telephone_number": "757-622-1661",
            "fax_number": "757-627-0704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 GRAYDON AVE",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235071208",
            "telephone_number": "757-622-1661",
            "fax_number": "757-627-0704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTENS",
        "first_name": "WERNER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-14",
        "last_updated": "2007-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101022116",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTIMA",
            "identifier": "12073",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MDIPA",
            "identifier": "222838",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHKEEPERS",
            "identifier": "016367",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "016367",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6040985",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8902073",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SENTARA",
            "identifier": "12073",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALLIANCE",
            "identifier": "222838",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEHA",
            "identifier": "222838",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI",
            "identifier": "222838",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

Verify at the official NPI Registry.