NPIMap

Individual provider Active NPI

Angelia D. Martin, M.D.

  • Family Medicine Physician
  • Albany, MO
National Provider Identifier
1689617888
Registry record updated Dec 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
115802 Issued in MO
Practice address
1607 E US Highway 136
NMC Albany Clinic East
Albany, MO 64402-8223
Phone
(660) 726-3333
Fax
(660) 726-3232
NPI assigned
Jun 14, 2006
Last updated
Dec 7, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 7, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 115802 MO Primary

Addresses

Primary practice location

1607 E US Highway 136
NMC Albany Clinic East
Albany, MO 64402-8223

Mailing address

1607 E US Highway 136
NMC Albany Clinic East
Albany, MO 64402-8223
Phone (660) 726-3333

Other identifiers 1

IdentifierTypeStateIssuer
203818505MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080602000838 MO Practitioner - Family Practice 6103836374 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Missouri, Kansas City, School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1607 E US Hwy 136
Mosaic Family Care Albany East
Albany, MO 64402-8223
Phone (660) 726-3333

705 N College St
Albany, MO 64402-1433
Phone (660) 726-3941

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75.47 of 100Reported as group
Quality
81.87
Promoting interoperability
99
Improvement activities
40
Cost
30.23

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions19
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy13

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
115802MOMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Medical Center Association Inc CurrentSince Oct 1, 2007 Accepting new patients
Northwest Medical Center Association, Inc CurrentSince Oct 1, 2007 Accepting new patients
Pine View Manor, Inc. Past Accepting new patients
Worth County Nursing Home District Past Accepting new patients
Northwest Medical Center Association, Inc Past Accepting new patients

Locations

1607 E US Highway 136
Albany, MO 64402
Phone (660) 726-3333

705 N College St
Albany, MO 64402
Phone (660) 726-3941

202 E Main St
Stanberry, MO 64489
Phone (660) 783-2092

Interoperability endpoints

  • Direct secure messaging: angelia.martin@direct.mymlc.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Pine View Manor, Inc.Stanberry, MO, CCN 265506 Skilled nursing facility Adp of the SNF Feb 14, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 12

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": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512604800000",
    "number": "1689617888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1607 E US HIGHWAY 136",
            "address_2": "NMC ALBANY CLINIC EAST",
            "city": "ALBANY",
            "state": "MO",
            "postal_code": "644028223",
            "telephone_number": "660-726-3333",
            "fax_number": "660-726-3232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1607 E US HIGHWAY 136",
            "address_2": "NMC ALBANY CLINIC EAST",
            "city": "ALBANY",
            "state": "MO",
            "postal_code": "644028223",
            "telephone_number": "660-726-3333",
            "fax_number": "660-726-3232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "ANGELIA",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-14",
        "last_updated": "2017-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "115802",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "203818505",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, MO

Sources for this page

Verify at the official NPI Registry.