Individual provider Active NPI

Andrew Jeffrey Martin, M.D.

  • Vascular Surgery Physician
  • Akron, OH
National Provider Identifier
1679954820
Registry record updated Sep 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
35.151809 Issued in OH
Practice address
95 Arch St Ste 215
Akron, OH 44304-1467
Phone
(330) 434-4145
Fax
(234) 312-2364
NPI assigned
Jun 13, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2024

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
Vascular Surgery Physician 2086S0129X 35.151809 OH Primary

Addresses

Primary practice location

95 Arch St Ste 215
Akron, OH 44304-1467

Mailing address

95 Arch St Ste 215
Akron, OH 44304-1467
Phone (330) 434-4145

Other practice location 1

1600 SW Archer Rd
Surgery Education Office, Brianna Doss
Gainesville, FL 32610-3003
Phone (352) 265-0916

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20241016002297 OH Practitioner - Vascular Surgery 0840509691 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
University of Toledo College of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Summa Physicians LLCGroup PAC ID 2961303532, 692 clinicians

Practice addresses (Care Compare)

155 5TH St NE
Barberton, OH 44203-3332

1790 Graybill Rd
Green, OH 44685-7993

1835 Franks Pkwy
Green, OH 44685-6249
Phone (330) 319-9700

1860 State Rd
Suite D
Cuyahoga Falls, OH 44223-1400
Phone (330) 923-3138

201 5TH St NE
Barberton, OH 44203-3017

3780 Medina Rd
Medina, OH 44256-9311
Phone (330) 375-6590

525 E Market St
Akron, OH 44304-1619

95 Arch St
Akron, OH 44304-1437
Phone (330) 375-3039

95 Arch St
Suite 215
Akron, OH 44304-1467
Phone (330) 434-4145

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.65 of 100Reported as apm
Quality
86.21
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.151809OHMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Summa Physicians LLC CurrentSince Sep 23, 2024 Accepting new patients
Summa Physicians LLC CurrentSince Sep 23, 2024 Accepting new patients
Summa Physicians LLC Current Accepting new patients
Summa Health System Past Accepting new patients
Summa Physicians LLC Vascular Surgery Past Accepting new patients

Locations

95 Arch St
Ste 215
Akron, OH 44304
Phone (330) 374-0009

525 E Market St
Akron, OH 44304
Phone (330) 375-6350

1077 Gorge Blvd
Akron, OH 44310
Phone (234) 312-5691

201 5th St NE
Ste 2
Barberton, OH 44203
Phone (330) 475-1616

Organizations & group practices 5

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 4

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": "1434153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725321600000",
    "number": "1679954820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 ARCH ST STE 215",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443041467",
            "telephone_number": "330-434-4145",
            "fax_number": "234-312-2364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 ARCH ST STE 215",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443041467",
            "telephone_number": "330-434-4145",
            "fax_number": "234-312-2364"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1600 SW Archer Rd",
            "address_2": "Surgery Education Office, Brianna Doss",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "FL",
            "postal_code": "326103003",
            "country_code": "US",
            "telephone_number": "352-265-0916",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "ANDREW",
        "middle_name": "JEFFREY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-13",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "OH",
            "license": "35.151809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Akron, OH

Sources for this page

Verify at the official NPI Registry.