NPIMap

Individual provider Active NPI

John M Martens, MD

  • Radiation Oncology Physician
  • Des Moines, IA
National Provider Identifier
1699852368
Registry record updated Nov 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
34592 Issued in IA
Practice address
411 Laurel St
Suite C100
Des Moines, IA 50314-3017
Phone
(515) 643-5168
Fax
(515) 643-5187
NPI assigned
Nov 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 34592 IA Primary

Addresses

Primary practice location

411 Laurel St
Suite C100
Des Moines, IA 50314-3017

Mailing address

PO Box 816
Des Moines, IA 50304-0816
Phone (515) 643-8780

Other identifiers 2

IdentifierTypeStateIssuer
0258079MedicaidIA
47508OtherIAWELLMARK BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20080612000691 IA Practitioner - Radiation Oncology 7517038979 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
University of Nebraska College of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Clinics IncGroup PAC ID 7911810882, 441 clinicians

Practice addresses (Care Compare)

1111 6TH Ave
Des Moines, IA 50314-2613
Phone (515) 247-4240

12495 University Ave
Clive, IA 50325-8289
Phone (515) 358-9500

330 Laurel St
Suite 1200
Des Moines, IA 50314-3044
Phone (515) 643-6290

800 E 1St St
Ankeny, IA 50021-2077

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34592IAMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinics, Inc. Current Accepting new patients
Mercy Clinics, Inc Radiation Oncology CurrentSince Feb 1, 2014 Accepting new patients
St Luke'S Methodist Hospital Current Accepting new patients
Greater Regional Medical Center CurrentSince Apr 6, 2012 Accepting new patients
Mercy Clinics, Inc. CurrentSince Feb 1, 2014 Accepting new patients
Greater Regional Medical Center CurrentSince Apr 6, 2012 Accepting new patients
Boone County Hospital Past Accepting new patients
Mercy Therapeutic Radiology Associates LLC Radiation Oncology Past Accepting new patients

Locations

1700 W Townline St
Creston, IA 50801
Phone (641) 782-7091

1610 W Townline St
Creston, IA 50801
Phone (641) 782-2131

405 SW 5th St
Ste E
Des Moines, IA 50309
Phone (515) 358-7259

411 Laurel St
Ste 3300
Des Moines, IA 50314
Phone (515) 270-1177

330 Laurel St
Ste 1200
Des Moines, IA 50314
Phone (515) 643-5454

411 Laurel St
Ste C100
Des Moines, IA 50314
Phone (515) 643-5168

12495 University Ave
Des Moines, IA 50325
Phone (515) 358-9500

Interoperability endpoints

  • Direct secure messaging: jmartens488892@direct.unitypoint.org
  • Direct secure messaging: jmartens3951240@direct.trinity-health.org

Organizations & group practices 8

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 9

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": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195516800000",
    "number": "1699852368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 816",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503040816",
            "telephone_number": "515-643-8780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 LAUREL ST",
            "address_2": "SUITE C100",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503143017",
            "telephone_number": "515-643-5168",
            "fax_number": "515-643-5187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTENS",
        "first_name": "JOHN",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "IA",
            "license": "34592",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0258079",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK BLUE SHIELD",
            "identifier": "47508",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, IA

Sources for this page

Verify at the official NPI Registry.