Martin Janis, MD

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

License

9900551 Issued in NC

Practice address

3921 Sunset Ridge Rd Ste 101
Raleigh, NC 27607-6677

Phone

(919) 782-7576

Fax

(919) 782-7573

NPI assigned

Aug 23, 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 1

Medicare fee-for-service enrollment

Enrolled in NC

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

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.

• S M Shah MD PA

  • Internal Medicine Physician
  • Raleigh, NC
  • NPI 1952616880
  NPD (past)

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449792000000",
    "number": "1861509481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10750",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276050750",
            "telephone_number": "919-782-7576",
            "fax_number": "919-782-7573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3921 SUNSET RIDGE RD STE 101",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276076677",
            "telephone_number": "919-782-7576",
            "fax_number": "919-782-7573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANIS",
        "first_name": "MARTIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-23",
        "last_updated": "2015-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NC",
            "license": "9900551",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8912794",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Saba Jangda, DDS
• Sheetal Jani, LCMHCA
• Janie Hoag
• Joanna Katarzyna Janik, MSN, FNP
• Nathan Francis Janik, PA-C
• Melissa Janis
• Tylen Janisch
• Frank Skiff Jannotta, MPT
• Brittany Lynn Janofski, PA-C
• Katherine Ann Vanderaa Jansen, M.A.

• Geriatric Medicine (Internal Medicine) Physician in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Geriatric Medicine (Internal Medicine) Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.