Individual provider Active NPI

Gerard L Marten-Ellis, M.D.

  • Ophthalmology Physician
  • Killeen, TX
National Provider Identifier
1679545487
Registry record updated Oct 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
G6970 Issued in TX
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

Updated by the provider on Oct 15, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
110279002MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
81.84 of 100Reported as group
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

  • Direct secure messaging: 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.

Verify at the official NPI Registry.