Individual provider Active NPI

Richard Leroy Martin Jr., DPM

  • Foot & Ankle Surgery Podiatrist
  • Chandler, AZ
National Provider Identifier
1851475610
Registry record updated Aug 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
POD-000813 Issued in AZ
Practice address
3800 W Ray Rd Ste 5
Chandler, AZ 85226-5940
Phone
(480) 718-5400
NPI assigned
Oct 25, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 10, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X POD-000813 AZ Primary
Foot & Ankle Surgery Podiatrist 213ES0103X 36003308M OH

Addresses

Primary practice location

3800 W Ray Rd Ste 5
Chandler, AZ 85226-5940

Mailing address

25138 W. Blue Sky Drive
Whittmann, AZ 85361
Phone (740) 312-3140

Other identifiers 1

IdentifierTypeStateIssuer
2338992MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230217002591 SC Practitioner - Podiatry 5395706550 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthy Feet of SC LLCGroup PAC ID 8224457502, 10 clinicians

Practice addresses (Care Compare)

218 Granito Dr
Greer, SC 29650-2771
Phone (248) 528-2116

Merit-based Incentive Payment System (MIPS)

Final score
90.84 of 100Reported as individual
Quality
65.16
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue5316
Removal or shaving of skin growth160

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Healthy Feet of SC LLC Podiatrist CurrentSince Jan 4, 2023 Accepting new patients
Podiatry Associates of Eastern Ohio, LLC Podiatrist Past Accepting new patients

Locations

4350 Brownsboro Rd
Ste 210
Louisville, KY 40207
Phone (830) 212-1661

12910 Shelbyville Rd
Ste 128
Louisville, KY 40243

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.

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660089600000",
    "number": "1851475610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25138 W. BLUE SKY DRIVE",
            "city": "WHITTMANN",
            "state": "AZ",
            "postal_code": "85361",
            "telephone_number": "740-312-3140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 W RAY RD STE 5",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852265940",
            "telephone_number": "480-718-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "RICHARD",
        "middle_name": "LEROY",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2022-08-10",
        "certification_date": "2022-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "AZ",
            "license": "POD-000813",
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "OH",
            "license": "36003308M",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2338992",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

Verify at the official NPI Registry.