Active NPI
Andrew D Martin, DPM
- Podiatrist
- Oak Lawn, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 016005084
- Practice address
- 4650 Southwest Hwy
Oak Lawn, IL 60453 - Phone
- (708) 424-3201
- Fax
- (708) 424-5001
- NPI assigned
- Nov 21, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 016005084 | IL | Primary |
Addresses
Primary practice location
4650 Southwest Hwy
Oak Lawn, IL 60453
Mailing address
4650 Southwest Hwy
Oak Lawn, IL 60453
Phone (708) 424-3201
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 016-005084 | Medicaid | IL | |
| 480034880 | Other | IL | RR MEDICARE |
| 7416406 | Other | IL | AETNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- William M. Scholl College of Podiatric Medicine, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Myrtle Lane
Calhoun Nursing and Rehab Ctr
Hardin, IL 62047-1002
Phone (618) 576-2278
1209 Northwood Dr
Anderson, IN 46011-1027
Phone (847) 504-5000
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.82 of 100
- Quality
- 72.99
- Improvement activities
- 40
- Cost
- 75.6
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 2958 |
| Removal or shaving of skin growth | 798 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Preferred Podiatry Group PC | Podiatrist | Current | Accepting new patients |
Locations
1 Myrtle
Hardin, IL 62047
Phone (618) 576-2278
1201 N Alton St
Lebanon, IL 62254
Phone (618) 537-4401
762 N Dan Jones Rd
Avon, IN 46123
Phone (201) 856-0224
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1216166400000",
"number": "1720061179",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4650 SOUTHWEST HWY",
"city": "OAK LAWN",
"state": "IL",
"postal_code": "60453",
"telephone_number": "708-424-3201",
"fax_number": "708-424-5001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4650 SOUTHWEST HWY",
"city": "OAK LAWN",
"state": "IL",
"postal_code": "60453",
"telephone_number": "708-424-3201",
"fax_number": "708-424-5001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "ANDREW",
"middle_name": "D",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-21",
"last_updated": "2008-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "IL",
"license": "016005084",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "016-005084",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "480034880",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7416406",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oak Lawn, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.