Individual provider Active NPI

Michael Louis Martino, MD

  • Emergency Medicine Physician
  • Bedford, IN
National Provider Identifier
1679598361
Registry record updated Apr 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
01071930A Issued in IN
Practice address
2900 16TH St
Bedford, IN 47421-3510
Phone
(812) 275-1381
Fax
(812) 275-1299
NPI assigned
Jul 13, 2006
Last updated
Apr 13, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 29148 WV
Emergency Medicine Physician 207P00000X MD073595L PA
Emergency Medicine Physician 207P00000X 01071930A IN Primary

Addresses

Primary practice location

2900 16TH St
Bedford, IN 47421-3510

Mailing address

250 N Shadeland Ave
Indianapolis, IN 46219-4959

Other practice location 1

565 Coal Valley Road
Jefferson Regional Medical Center
Pittsburgh, PA 15236
Phone (412) 469-5959

Other practice location 2

1 Medical Park
Wheeling, WV 26003-6300
Phone (304) 243-3000

Other identifiers 1

IdentifierTypeStateIssuer
001846035MedicaidPA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mmartino@direct.iuhealth.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, IN, WV3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20050902000045 PA Practitioner - Emergency Medicine 2567494289 Reassigns benefits to 4 organizations
I20140211000832 IN Practitioner - Emergency Medicine 2567494289 Reassigns benefits to 1 organization
I20191111002531 WV Practitioner - Emergency Medicine 2567494289 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wheeling Hospital IncGroup PAC ID 5799689493, 433 clinicians

Practice addresses (Care Compare)

1 Medical Park
Wheeling, WV 26003-6379
Phone (304) 243-3000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as apm
Quality
79.86
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
99 of 100Reported as group
Quality
95.9
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01071930AINMDEmergency Medicine Physician
MD073595LPAMDEmergency Medicine Physician
29148WVMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ahn Emergency Group of Pittsburgh LTD. Emergency Medicine CurrentSince May 1, 2023 Accepting new patients
Brookville Hospital Emergency Medicine CurrentSince Jun 1, 2018 Accepting new patients
Emergency Care Services of Pennsylvania, P.C. Emergency Medicine CurrentSince Nov 18, 2017 Accepting new patients
Brookville Hospital Emergency Medicine CurrentSince Jun 1, 2018 Accepting new patients
Emergency Care Services of Pennsylvania, P.C. Emergency Medicine CurrentSince Nov 18, 2017 Accepting new patients
Dubois Regional Medical Center CurrentSince Jun 1, 2018 Accepting new patients
Wheeling Hospital Inc CurrentSince Jul 1, 2023 Accepting new patients
West Virginia University Hospitals Inc Current Accepting new patients
Riverview Hospital Emergency Medicine CurrentSince Oct 1, 2022 Accepting new patients
West Virginia University Hospitals, Inc Emergency Medicine CurrentSince Apr 4, 2020 Accepting new patients
West Virginia University Hospitals, Inc. CurrentSince Apr 4, 2020 Accepting new patients
Riverview Hospital CurrentSince Oct 1, 2022 Accepting new patients
Dubois Regional Medical Center Emergency Medicine CurrentSince Jun 1, 2018 Accepting new patients
Clearfield Hospital Emergency Medicine Past Accepting new patients
S W Leehan MD PC Past Accepting new patients
Clearfield Hospital Past Accepting new patients

Locations

14585 Hazel Dell Pkwy
Rm Urgent
Carmel, IN 46033
Phone (317) 214-5030

9690 E 116th St
Fishers, IN 46037
Phone (317) 214-5750

395 Westfield Rd
Noblesville, IN 46060
Phone (317) 218-3136

100 Hospital Rd
Brookville, PA 15825
Phone (814) 849-1408

809 Turnpike Ave
Clearfield, PA 16830
Phone (814) 765-5341

401 E Murphy Ave
Connellsville, PA 15425
Phone (724) 626-2343

100 Hospital Ave
Dubois, PA 15801
Phone (814) 375-2040

100 Hospital Ave
Ofc
Dubois, PA 15801

320 E North Ave
Pittsburgh, PA 15212
Phone (412) 359-3131

8950 Duncan Ave
Pittsburgh, PA 15237
Phone (412) 847-1160

800 Garfield Ave
Parkersburg, WV 26101
Phone (304) 420-7161

1 Medical Park
Wheeling, WV 26003
Phone (304) 243-3124

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/4023/brand/1/csg/1/fhir/r4
  • Direct secure messaging: mmartino@direct.iuhealth.org
  • Direct secure messaging: mmartino163367@direct.wvuhsdirect.com

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 1

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": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649808000000",
    "number": "1679598361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 N SHADELAND AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462194959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 16TH ST",
            "city": "BEDFORD",
            "state": "IN",
            "postal_code": "474213510",
            "telephone_number": "812-275-1381",
            "fax_number": "812-275-1299"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "565 Coal Valley Road",
            "address_2": "Jefferson Regional Medical Center",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "15236",
            "country_code": "US",
            "telephone_number": "412-469-5959",
            "fax_number": "610-617-6280",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Medical Park",
            "address_purpose": "LOCATION",
            "city": "Wheeling",
            "state": "WV",
            "postal_code": "260036300",
            "country_code": "US",
            "telephone_number": "304-243-3000",
            "fax_number": "304-243-3060",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTINO",
        "first_name": "MICHAEL",
        "middle_name": "LOUIS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2022-04-13",
        "certification_date": "2022-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WV",
            "license": "29148",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "MD073595L",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IN",
            "license": "01071930A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001846035",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mmartino@direct.iuhealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2900 16th St",
            "city": "Bedford",
            "state": "IN",
            "country_code": "US",
            "postal_code": "474213510",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bedford, IN

Sources for this page

Verify at the official NPI Registry.