Douglas J. Martin, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

MD429037 Issued in PA

Practice address

629 D Lowther Road
Lewisberry, PA 17339-9527

Phone

(717) 932-5200

Fax

(717) 932-3095

NPI assigned

Jun 5, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in PA

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Tower Health Medical Group

  • Internal Medicine Physician
  • Birdsboro, PA
  • NPI 1609291350

  PA

  Medicare reassignment Care Compare group NPD
• Geisinger Clinic

  • Family Medicine Physician
  • Danville, PA
  • NPI 1366493868

  PA

  Medicare reassignment NPD
• West Grove Clinic Company LLC

  • Family Medicine Physician
  • West Grove, PA
  • NPI 1790856078

  Diagnostic Radiology, PA

  Medicare reassignment NPD
• Geisinger Clinic

  • Surgery Physician
  • Danville, PA
  • NPI 1255382784
  NPD
• Geisinger Clinic

  • Diagnostic Radiology Physician
  • Danville, PA
  • NPI 1558313023

  Diagnostic Radiology

  NPD
• Quantum Pet LP

  • Diagnostic Radiology Physician
  • Lewisberry, PA
  • NPI 1235125139

  Diagnostic Radiology

  NPD
• Tower Health Medical Group

  • Neonatal-Perinatal Medicine Physician
  • West Reading, PA
  • NPI 1811088537
  NPD
• Tower Health Medical Group

  • Surgery Physician
  • Wyomissing, PA
  • NPI 1831954353
  NPD
• West Grove Clinic Company LLC

  • Neurology Physician
  • West Grove, PA
  • NPI 1093355992
  NPD
• Alpha Diagnostics LLC

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • York Springs, PA
  • NPI 1285944827
  NPD (past)
• Alpha Diagnostics LLC

  • Diagnostic Radiology Physician
  • York Springs, PA
  • NPI 1942510581

  Diagnostic Radiology

  NPD (past)
• Central Pennsylvania MRI Center

  • Diagnostic Radiology Physician
  • Mechanicsburg, PA
  • NPI 1629064548

  Diagnostic Radiology

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Pottstown Hospital, LLC

  • Hematology & Oncology Physician
  • Pottstown, PA
  • NPI 1093225369

  Hospital

  Care Compare affiliation
• Pottstown Hospital, LLC

  • General Acute Care Hospital
  • Pottstown, PA
  • NPI 1649794421

  Hospital

  Care Compare affiliation
• Reading Hospital

  • Cardiovascular Disease Physician
  • West Reading, PA
  • NPI 1407570880

  Hospital

  Care Compare affiliation
• Reading Hospital

  • General Acute Care Hospital
  • West Reading, PA
  • NPI 1467007112

  Hospital

  Care Compare affiliation
• Reading Hospital

  • Gynecologic Oncology Physician
  • West Reading, PA
  • NPI 1528677192

  Hospital

  Care Compare affiliation
• Reading Hospital

  • General Acute Care Hospital
  • West Reading, PA
  • NPI 1669530069

  Hospital

  Care Compare affiliation
• Reading Hospital

  • Hematology & Oncology Physician
  • West Reading, PA
  • NPI 1699384016

  Hospital

  Care Compare affiliation
• Reading Hospital

  • Mobile Mammography Clinic/Center
  • West Reading, PA
  • NPI 1982349650

  Hospital

  Care Compare affiliation

Specialty

Diagnostic Radiology

Education

New York University School of Medicine, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Tower Health Medical Group 578 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Reading Hospital Hospital, West Reading, PA, CCN 390044
• Pottstown Hospital Hospital, Pottstown, PA, CCN 390123

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326844800000",
    "number": "1821037003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "629 D LOWTHER RD",
            "city": "LEWISBERRY",
            "state": "PA",
            "postal_code": "173399527",
            "telephone_number": "717-932-5200",
            "fax_number": "717-932-3093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "629 D LOWTHER ROAD",
            "city": "LEWISBERRY",
            "state": "PA",
            "postal_code": "173399527",
            "telephone_number": "717-932-5200",
            "fax_number": "717-932-3095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "DOUGLAS",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-05",
        "last_updated": "2012-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MD429037",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "410751900",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101626188027",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lewisberry Community Fire Company
• Paul Licata
• Geoffrey Lindblad, DO
• David Lynch
• Loren C Macey, M.D.
• Jennifer McCahan, RDN, LDN
• John McGurrin Jr., MD
• Brian Donnal McInroy, MD
• Robert Guido Michelini, DO
• Scott W Michelitch, MD

• All providers in Lewisberry, PA
• Diagnostic Radiology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2012; 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.

Verify at the official NPI Registry.