NPIMap

Individual provider Active NPI

Trevor R. Martin, D.O.

  • Family Medicine Physician
  • Washington, IA
National Provider Identifier
1770725202
Registry record updated Apr 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4061 Issued in IA
Practice address
1230 S Iowa Ave
Washington, IA 52353-1144
Phone
(319) 653-7291
Fax
(319) 653-7440
NPI assigned
Mar 30, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 125.053253 IL
Family Medicine Physician 207Q00000X 036.123879 IL
Family Medicine Physician 207Q00000X 4061 IA Primary

Addresses

Primary practice location

1230 S Iowa Ave
Washington, IA 52353-1144

Mailing address

PO Box 909
Washington, IA 52353-0909
Phone (319) 653-7291

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
I20110228000365 IA Practitioner - Family Practice 0648309674 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Washington County HospitalGroup PAC ID 2062329931, 39 clinicians

Practice addresses (Care Compare)

1230 S Iowa Ave
Washington, IA 52353-1144
Phone (319) 653-7291

Hospital & facility affiliations

  • University of Iowa Health Care Medical Center Downtown Home Health Home health agency, Coralville, IA, CCN 167181
  • Washington Co. Public Health Home health agency, Washington, IA, CCN 167109
  • Hospice of Washington County Hospice, Washington, IA, CCN 161544
  • Washington County Hospital and Clinics Hospital, Washington, IA, CCN 161344
  • Jefferson County Health Center Hospital, Fairfield, IA, CCN 161364

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4061IAMDFamily Medicine Physician
036.123879ILMDFamily Medicine Physician
125.053253ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Washington County Hospital Current Accepting new patients
Washington County Hospital CurrentSince Oct 9, 2025 Accepting new patients
Washington County Hospital Family Medicine Past Accepting new patients

Locations

400 E Polk St
Washington, IA 52353
Phone (319) 653-5481

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/washin-6836dd27
  • Direct secure messaging: tmartin264534@uihcdirect.org

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 7

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": "1238371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398816000000",
    "number": "1770725202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 909",
            "city": "WASHINGTON",
            "state": "IA",
            "postal_code": "523530909",
            "telephone_number": "319-653-7291",
            "fax_number": "319-653-7440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1230 S IOWA AVE",
            "city": "WASHINGTON",
            "state": "IA",
            "postal_code": "523531144",
            "telephone_number": "319-653-7291",
            "fax_number": "319-653-7440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "TREVOR",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-03-30",
        "last_updated": "2014-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "125.053253",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036.123879",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "4061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, IA

Sources for this page

Verify at the official NPI Registry.