Individual provider Active NPI

Monte Edward Martin, M.D.

  • Hematology & Oncology Physician
  • Campbellsville, KY
National Provider Identifier
1821138686
Registry record updated Feb 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
38668 Issued in KY
Practice address
125 Greenbriar Dr
Campbellsville, KY 42718-9616
Phone
(207) 789-6166
NPI assigned
Feb 8, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 38668 KY Primary

Addresses

Primary practice location

125 Greenbriar Dr
Campbellsville, KY 42718-9616

Mailing address

1698 Old Lebanon Rd
Campbellsville, KY 42718-3319
Phone (270) 789-6166

Other identifiers 1

IdentifierTypeStateIssuer
7100013850MedicaidKY

Organizations & group practices 9

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 5

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

Care Compare profile

Medicare Care Compare
Specialty
Medical OncologyAlso: Hematology, Hematology/Oncology
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Taylor Regional Medical Group LLC 60 clinicians

Practice addresses (Care Compare)

125 Greenbriar Dr
Campbellsville, KY 42718-9616
Phone (270) 789-9999

Hospital & facility affiliations

  • Taylor Regional Hospital Hospital, Campbellsville, KY, CCN 180087
  • Russell County Hospital Hospital, Russell Springs, KY, CCN 181330
  • CHI Saint Joseph Flaget Memorial Hospital Hospital, Bardstown, KY, CCN 180025
  • TJ Health Columbia Hospital, Columbia, KY, CCN 180149
  • Jane Todd Crawford Hospital Hospital, Greensburg, KY, CCN 181325

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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

Enrollment IDStateProvider typePAC IDDetails
I20071113000031 KY Practitioner - Medical OncologyPractitioner - HematologyPractitioner - Hematology/Oncology 2163510975 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Louisville Physicians, Inc. Hematology & Oncology CurrentSince Jul 1, 2024 Accepting new patients
University of Louisville Physicians, Inc. CurrentSince Jul 1, 2024 Accepting new patients
Taylor Regional Medical Group,LLC Current Accepting new patients
Taylor Regional Medical Group LLC CurrentSince Feb 3, 2025 Accepting new patients
Taylor Regional Medical Group Hematology & Oncology CurrentSince Feb 3, 2025 Accepting new patients
University of Louisville Physicians, Inc. Current Accepting new patients
Taylor Regional Medical Group Past Accepting new patients

Locations

7752 Solution Ctr
Chicago, IL 60677

4359 New Shepherdsville Rd
Unit 100
Bardstown, KY 40004
Phone (502) 350-5000

1698 Old Lebanon Rd
Campbellsvlle, KY 42718
Phone (270) 465-3561

125 Greenbriar Dr
Campbellsvlle, KY 42718
Phone (270) 789-6166

571 S Floyd St
Louisville, KY 40202
Phone (502) 561-2700

1460 Bluegrass Ave
Louisville, KY 40215
Phone (502) 361-8496

Interoperability endpoints

  • Direct secure messaging: mmartin275054@direct.stlukeshealth.org

NPI Registry JSON

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738627200000",
    "number": "1821138686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1698 OLD LEBANON RD",
            "city": "CAMPBELLSVILLE",
            "state": "KY",
            "postal_code": "427183319",
            "telephone_number": "270-789-6166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 GREENBRIAR DR",
            "city": "CAMPBELLSVILLE",
            "state": "KY",
            "postal_code": "427189616",
            "telephone_number": "207-789-6166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "MONTE",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-08",
        "last_updated": "2025-02-04",
        "certification_date": "2025-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "KY",
            "license": "38668",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100013850",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Campbellsville, KY

Sources for this page

Verify at the official NPI Registry.