Active NPI
Ronald T Martin, MD
- Ophthalmic Plastic and Reconstructive Surgery Physician
- Carmel, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmic Plastic and Reconstructive Surgery Physician
- License
- 1034381
- Practice address
- 11220 Illinois St Ste 220
Carmel, IN 46032-9847 - Phone
- (317) 817-1976
- Fax
- (317) 817-1737
- NPI assigned
- Jul 14, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmic Plastic and Reconstructive Surgery Physician | 207WX0200X | 1034381 | IN | Primary |
| Ophthalmology Physician | 207W00000X | 1034381 | IN |
Addresses
Primary practice location
11220 Illinois St Ste 220
Carmel, IN 46032-9847
Mailing address
11220 Illinois St Ste 220
Carmel, IN 46032-9847
Phone (317) 817-1976
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200060730 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1034381 | IN | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ophthalmic Plastic Surgery Inc | Ophthalmology | Current | Accepting new patients |
| Major Hospital | Ophthalmology | Past | Accepting new patients |
Locations
201 Pennsylvania Pkwy
Carmel, IN 46280
Phone (317) 817-1254
10300 N Illinois St
Ste 2020
Carmel, IN 46290
Phone (317) 817-1973
11220 Illinois St
Ste 220
Carmel, IN 46032
7920 W Jefferson Blvd
Ste 230
Fort Wayne, IN 46804
Phone (260) 432-7600
Organizations & group practices 2
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.
-
- Ophthalmic Plastic and Reconstructive Surgery Physician
- Carmel, IN
- NPI 1831129790
Ophthalmology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754524800000",
"number": "1790783561",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11220 ILLINOIS ST STE 220",
"city": "CARMEL",
"state": "IN",
"postal_code": "460329847",
"telephone_number": "317-817-1976",
"fax_number": "317-817-1737"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11220 ILLINOIS ST STE 220",
"city": "CARMEL",
"state": "IN",
"postal_code": "460329847",
"telephone_number": "317-817-1976",
"fax_number": "317-817-1737"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "RONALD",
"middle_name": "T",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-14",
"last_updated": "2025-08-07",
"certification_date": "2025-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "207WX0200X",
"taxonomy_group": "",
"desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
"state": "IN",
"license": "1034381",
"primary": true
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "IN",
"license": "1034381",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200060730",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Carmel, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.