Active NPI
Suzanne G Martin, M.D.
- Nephrology Physician
- Worcester, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 228398
- Practice address
- 123 Summer St
Suite 380 N
Worcester, MA 01608-1216 - Phone
- (508) 363-6126
- Fax
- (508) 363-9266
- NPI assigned
- Aug 20, 2006
- Last updated
- Sep 4, 2015
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 228398 | MA | |
| Nephrology Physician | 207RN0300X | 228398 | MA | Primary |
Addresses
Primary practice location
123 Summer St
Suite 380 N
Worcester, MA 01608-1216
Mailing address
630 Plantation St
Worcester, MA 01605-2038
Phone (508) 363-6126
Other names 1
- Suzanne G Baumwell
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nephrology
- Education
- University of Chicago, Pritzker School of Medicine, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
123 Summer St
Worcester, MA 01608-1216
Phone (508) 363-5000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 228398 | MA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reliant Medical Group, Inc | Internal Medicine | Current | Accepting new patients |
| Reliant Medical Group, Inc | Past | Accepting new patients |
Locations
123 Summer St
Worcester, MA 01608
Phone (508) 363-6000
123 Summer St
Ste 380
Worcester, MA 01608
Phone (508) 363-6126
5 Neponset St
Worcester, MA 01606
Phone (508) 595-2300
630 Plantation St
Worcester, MA 01605
Phone (508) 368-5529
630 Plantation St
Fl ST12
Worcester, MA 01605
Phone (774) 261-1356
Interoperability endpoints
- suzanne.martin.npi1790890754.reliant@direct.optumcare.masshiway.net
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Worcester, MA
- NPI 1295827962
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Fresenius Kidney Care Worcester County Dialysis
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Worcester, MA
- NPI 1295247955
Dialysis facility
-
dba Freedom Center of Worcester
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Worcester, MA
- NPI 1497125678
Dialysis facility
-
dba South County Dialysis Center
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Webster, MA
- NPI 1528077237
Dialysis facility
-
dba Fresenius Kidney Care - Oxford
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Sutton, MA
- NPI 1801448725
Dialysis facility
-
dba Heywood Hospital
- General Acute Care Hospital
- Gardner, MA
- NPI 1205823879
-
dba Saint Vincent Hospital
- General Acute Care Hospital
- Worcester, MA
- NPI 1538131214
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1441324800000",
"number": "1790890754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "630 PLANTATION ST",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016052038",
"telephone_number": "508-363-6126",
"fax_number": "508-363-9266"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "123 SUMMER ST",
"address_2": "SUITE 380 N",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016081216",
"telephone_number": "508-363-6126",
"fax_number": "508-363-9266"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "SUZANNE",
"middle_name": "G",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-20",
"last_updated": "2015-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MA",
"license": "228398",
"primary": false
},
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "MA",
"license": "228398",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SUZANNE",
"last_name": "BAUMWELL",
"middle_name": "G",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Worcester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2015; 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.