Organization Active NPI

Martin Orthopaedic & Wellness Group

  • Orthopaedic Surgery Physician
  • Greenbelt, MD
National Provider Identifier
1730849613
Registry record updated Mar 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
MARTIN ORTHOPAEDIC & WELLNESS GROUP
Practice address
7525 Greenway Center Dr Ste 214
Greenbelt, MD 20770-3525
Phone
(443) 333-9667
Fax
(443) 339-4056
NPI assigned
Dec 20, 2021
Last updated
Mar 27, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2023

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

Authorized official

Name
Dr. Jabari Martin, MDNPI 1760703557
Title
Owner
Phone
(202) 491-4191

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X NU Primary

Addresses

Primary practice location

7525 Greenway Center Dr Ste 214
Greenbelt, MD 20770-3525

Mailing address

2111 Garden Grove LN
Mitchellville, MD 20721-1884
Phone (202) 491-4191

Other practice location 1

806 W Diamond Ave Ste 110
Gaithersburg, MD 20878-1478
Phone (443) 333-9667

Other practice location 2

4467 Old Branch Ave Ste 106
Temple Hills, MD 20748-1854
Phone (443) 333-9667

Other identifiers 1

IdentifierTypeStateIssuer
2C3026MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220412002401 DC Part B Supplier - Clinic/Group Practice 6103212501 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
Practice locations: Greenbelt, MD; Temple Hills, MD

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Martin Ortho Wellness GRP3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

7525 Greenway Center Dr
Ste 214
Greenbelt, MD 20770
Phone (301) 474-8118

4467 Old Branch Ave
Ste 106
Temple Hills, MD 20748
Phone (301) 423-3343

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1639958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679875200000",
    "number": "1730849613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2111 GARDEN GROVE LN",
            "city": "MITCHELLVILLE",
            "state": "MD",
            "postal_code": "207211884",
            "telephone_number": "202-491-4191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7525 GREENWAY CENTER DR STE 214",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207703525",
            "telephone_number": "443-333-9667",
            "fax_number": "443-339-4056"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "806 W Diamond Ave Ste 110",
            "address_purpose": "LOCATION",
            "city": "Gaithersburg",
            "state": "MD",
            "postal_code": "208781478",
            "country_code": "US",
            "telephone_number": "443-333-9667",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4467 Old Branch Ave Ste 106",
            "address_purpose": "LOCATION",
            "city": "Temple Hills",
            "state": "MD",
            "postal_code": "207481854",
            "country_code": "US",
            "telephone_number": "443-333-9667",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MARTIN ORTHOPAEDIC & WELLNESS GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-20",
        "last_updated": "2023-03-27",
        "certification_date": "2023-03-27",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "JABARI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "202-491-4191",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2C3026",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenbelt, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.