Individual provider Active NPI

Keith R Martin, MD

  • Obstetrics & Gynecology Physician
  • Zephyrhills, FL
National Provider Identifier
1801007190
Registry record updated Aug 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
ME173799 Issued in FL
Practice address
7050 Gall Blvd
Zephyrhills, FL 33541-1347
Phone
(813) 782-8761
NPI assigned
May 25, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Obstetrics & Gynecology) Physician 207VH0002X 036084645 IL
Obstetrics & Gynecology Physician 207V00000X ME173799 FL Primary

Addresses

Primary practice location

7050 Gall Blvd
Zephyrhills, FL 33541-1347

Mailing address

7050 Gall Blvd
Zephyrhills, FL 33541-1347
Phone (813) 782-8761

Other practice location 1

1010 Fairway Dr
Freeport, IL 61032-6600
Phone (815) 599-7750 ext. 7675

Other identifiers 2

IdentifierTypeStateIssuer
036084645MedicaidIL
08932003OtherILBLUE CROSS BLUE SHIELD OF

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20080521000797 IL Practitioner - Obstetrics/Gynecology 6406768829 Reassigns benefits to 4 organizations
I20260123001189 IA Practitioner - Obstetrics/Gynecology 6406768829 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Chicago College of Medicine and Surgery, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Freeport Regional Health Care FoundationGroup PAC ID 9234041682, 86 clinicians

Practice addresses (Care Compare)

1010 Fairway Dr
Freeport, IL 61032-6600
Phone (815) 599-7421

1045 W Stephenson St
Freeport, IL 61032-4864
Phone (815) 599-6000

600 N Rush St
Stockton, IL 61085-1010
Phone (815) 947-3211

Hospital & facility affiliations

  • FHN Memorial Hospital Hospital, Freeport, IL, CCN 140160

Merit-based Incentive Payment System (MIPS)

Final score
83.84 of 100Reported as group
Quality
75.22
Promoting interoperability
92
Improvement activities
40
Cost
73.11

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Waverly Health Center Hospice and Palliative Medicine CurrentSince Dec 1, 2025 Accepting new patients
Obhg Illinois SC Obstetrics & Gynecology CurrentSince May 1, 2025 Accepting new patients
Waverly Health Center CurrentSince Dec 1, 2025 Accepting new patients
Freeport Memorial Hospital CurrentSince Oct 17, 2022 Accepting new patients
CGH Medical Center Current Accepting new patients
Waverly Health Center Obstetrics & Gynecology CurrentSince Dec 17, 2025 Accepting new patients

Locations

312 9th St SW
Waverly, IA 50677
Phone (319) 352-4120

1010 Fairway Dr
Freeport, IL 61032
Phone (815) 599-6340

1045 W Stephenson St
Freeport, IL 61032
Phone (815) 599-6105

421 W Exchange St
Freeport, IL 61032
Phone (815) 599-7300

1555 N Barrington Rd
Hoffman Estates, IL 60169
Phone (847) 490-2923

1 Saint Elizabeth Blvd
O Fallon, IL 62269
Phone 618234212012438

711 S Division Ave
Polo, IL 61064
Phone (815) 946-3661

101 E Miller Rd
Sterling, IL 61081
Phone (815) 632-5285

Organizations & group practices 7

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 1

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": "1180051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785801600000",
    "number": "1801007190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7050 GALL BLVD",
            "city": "ZEPHYRHILLS",
            "state": "FL",
            "postal_code": "335411347",
            "telephone_number": "813-782-8761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7050 GALL BLVD",
            "city": "ZEPHYRHILLS",
            "state": "FL",
            "postal_code": "335411347",
            "telephone_number": "813-782-8761"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1010 Fairway Dr",
            "address_purpose": "LOCATION",
            "city": "Freeport",
            "state": "IL",
            "postal_code": "610326600",
            "country_code": "US",
            "telephone_number": "815-599-7750 x7675",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "KEITH",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-25",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VH0002X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Hospice and Palliative Medicine",
            "state": "IL",
            "license": "036084645",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME173799",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036084645",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF",
            "identifier": "08932003",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Zephyrhills, FL

Sources for this page

Verify at the official NPI Registry.