Active NPI
Gerard L Marten-Ellis, M.D.
- Ophthalmology Physician
- Killeen, TX
National Provider Identifier
1679545487
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- G6970
- Practice address
- 2301 S Clear Creek Rd
Suite 116
Killeen, TX 76549-4143 - Phone
- (254) 526-5505
- Fax
- (254) 526-4313
- NPI assigned
- Feb 6, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | G6970 | TX | Primary |
Addresses
Primary practice location
2301 S Clear Creek Rd
Suite 116
Killeen, TX 76549-4143
Mailing address
2301 S Clear Creek Rd
Suite 116
Killeen, TX 76549-4143
Phone (254) 526-5505
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110279002 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 81.84 of 100
- Quality
- 80.96
- Improvement activities
- 40
- Cost
- 64.86
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Interoperability endpoints
- gmartenellis@westlakeeyes.intellechartdirect.net
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139184000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1192406400000",
"number": "1679545487",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2301 S CLEAR CREEK RD",
"address_2": "SUITE 116",
"city": "KILLEEN",
"state": "TX",
"postal_code": "765494143",
"telephone_number": "254-526-5505",
"fax_number": "254-526-4313"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2301 S CLEAR CREEK RD",
"address_2": "SUITE 116",
"city": "KILLEEN",
"state": "TX",
"postal_code": "765494143",
"telephone_number": "254-526-5505",
"fax_number": "254-526-4313"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTEN-ELLIS",
"first_name": "GERARD",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-06",
"last_updated": "2007-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "TX",
"license": "G6970",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110279002",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Killeen, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.