Individual provider Active NPI

David W Martell, DO

  • Dermatology Physician
  • Manhattan, KS
National Provider Identifier
1700147501
Registry record updated May 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
05-41562 Issued in KS
Practice address
4201 Anderson Ave Ste B2
Manhattan, KS 66503-7603
Phone
(785) 320-7774
Fax
(785) 320-7758
NPI assigned
Jun 7, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 20A22267 CA
MOHS-Micrographic Surgery Physician 207ND0101X 05-41562 KS
Procedural Dermatology Physician 207NS0135X 1088 NE
MOHS-Micrographic Surgery Physician 207ND0101X 20A22267 CA
Dermatology Physician 207N00000X 05-41562 KS Primary

Addresses

Primary practice location

4201 Anderson Ave Ste B2
Manhattan, KS 66503-7603

Mailing address

2200 SW 6TH Ave
Topeka, KS 66606-1707
Phone (785) 354-8518

Other practice location 1

5820 LaMar Ave Ste 200
Mission, KS 66202-2655
Phone (913) 631-6330

Other practice location 2

9781 Blue Larkspur Ln
Monterey, CA 93940-6509
Phone (831) 333-9008

Other practice location 3

1602 W 15th Ave Ste D
Emporia, KS 66801-9804
Phone (620) 208-8518

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, CA2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20181227001773 KS Practitioner - DermatologyPractitioner - Micrographic Dermatologic Surgery (MDS) 9234474990 Reassigns benefits to 1 organization
I20260430003586 CA Practitioner - DermatologyPractitioner - Micrographic Dermatologic Surgery (MDS) 9234474990 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
DermatologyAlso: Micrographic Dermatologic Surgery (MDS)
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kansas Medical Clinic PAGroup PAC ID 4981592334, 50 clinicians
Csi Medical GroupGroup PAC ID 5890916845, 104 clinicians

Practice addresses (Care Compare)

4201 Anderson Ave
B2
Manhattan, KS 66503-7603
Phone (785) 320-7774

9781 Blue Larkspur LN
Suite 100
Monterey, CA 93940-6509
Phone (831) 333-9008

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.91 of 100Reported as group
Quality
80.11
Promoting interoperability
97
Improvement activities
40
Cost
72.09

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision124
Removal of skin lesions1364
Removal of skin cancer373
Removal of nail tissue1-10
Removal or shaving of skin growth18
Skin biopsy491

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1088NEMDProfessional Counselor
20A22267CAMDDermatology Physician
05-41562KSMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Heartland Dermatology and Skin Cancer Center, PA Dermatology CurrentSince Apr 21, 2021 Accepting new patients
Kansas Medical Clinic, PA Past Accepting new patients

Locations

4201 Anderson Ave
Ste F
Manhattan, KS 66503
Phone (785) 539-4645

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JJICCA

Organizations & group practices 4

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 3

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": "1339027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778457600000",
    "number": "1700147501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 SW 6TH AVE",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666061707",
            "telephone_number": "785-354-8518",
            "fax_number": "785-354-1255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 ANDERSON AVE STE B2",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665037603",
            "telephone_number": "785-320-7774",
            "fax_number": "785-320-7758"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5820 LaMar Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Mission",
            "state": "KS",
            "postal_code": "662022655",
            "country_code": "US",
            "telephone_number": "913-631-6330",
            "fax_number": "913-631-6222",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9781 Blue Larkspur Ln",
            "address_purpose": "LOCATION",
            "city": "Monterey",
            "state": "CA",
            "postal_code": "939406509",
            "country_code": "US",
            "telephone_number": "831-333-9008",
            "fax_number": "831-333-9010",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1602 W 15th Ave Ste D",
            "address_purpose": "LOCATION",
            "city": "Emporia",
            "state": "KS",
            "postal_code": "668019804",
            "country_code": "US",
            "telephone_number": "620-208-8518",
            "fax_number": "620-208-8520",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTELL",
        "first_name": "DAVID",
        "middle_name": "W",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-07",
        "last_updated": "2026-05-11",
        "certification_date": "2026-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "20A22267",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "KS",
            "license": "05-41562",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "NE",
            "license": "1088",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "CA",
            "license": "20A22267",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "KS",
            "license": "05-41562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manhattan, KS

Sources for this page

Verify at the official NPI Registry.