Active NPI
Danilo Achy Martins, M.D.
- Surgery Physician
- Mount Vernon, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 036150510
- Practice address
- 5 Good Samaritan Way Ste 235
Mount Vernon, IL 62864-2402 - Phone
- (618) 899-3980
- NPI assigned
- May 28, 2013
- Last updated
- Oct 21, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | BP10045821 | TX | |
| Surgery Physician | 208600000X | 036150510 | IL | Primary |
Addresses
Primary practice location
5 Good Samaritan Way Ste 235
Mount Vernon, IL 62864-2402
Mailing address
PO Box 955860
Saint Louis, MO 63195-5860
Phone (636) 498-5944
Other practice location 1
601 E. 15th Street
UT Southwestern Austin General Surgery at UMCB
Austin, TX 78701
Phone (512) 324-7000
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dmartins7273@direct-ehr-ssmhc.com | Direct | |
| FHIR URL | https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/ | Other |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Texas a & M University System, HSC, College of Medicine, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2301 Holmes St
Kansas City, MO 64108-2640
Phone (816) 404-1000
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McDonough County Hospital District | Current | Accepting new patients | |
| McDonough County Hospital District | Current | Accepting new patients | |
| University Health Physicians | Surgery | Current | Accepting new patients |
| Physician Services Corporation of Southern Illinois Inc. | Surgery | Current | Accepting new patients |
| Truman Medical Center, Incorporated | Past | Accepting new patients |
Locations
503 E Grant St
Macomb, IL 61455
Phone (309) 833-5917
525 E Grant St
Macomb, IL 61455
Phone (309) 836-1611
1 Good Samaritan Way
Mount Vernon, IL 62864
Phone (618) 242-4600
2 Good Samaritan Way
Ste 235
Mount Vernon, IL 62864
Phone (618) 899-3970
2 Good Samaritan Way
Ste 320
Mount Vernon, IL 62864
Phone (618) 899-1944
5 Good Samaritan Way
Ste 235
Mount Vernon, IL 62864
Phone (618) 899-3980
605 N 12th St
Mount Vernon, IL 62864
Phone (618) 241-1108
2301 Holmes St
Kansas City, MO 64108
4407 E 50th Ter
Kansas City, MO 64130
Phone (816) 924-1201
7900 Lees Summit Rd
Kansas City, MO 64139
Phone (816) 373-4485
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba McDonough Eye Care
- Internal Medicine Physician
- Macomb, IL
- NPI 1609180082
-
dba SSM Health Medical Group
- Internal Medicine Physician
- Mount Vernon, IL
- NPI 1831101807
Surgery
-
dba MDH Community Pharmacy
- Community/Retail Pharmacy
- Macomb, IL
- NPI 1245098458
-
dba University Health Truman Medical Center
- General Acute Care Hospital
- Kansas City, MO
- NPI 1467595793
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba University Health Truman Medical Center
- General Acute Care Hospital
- Kansas City, MO
- NPI 1467595793
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603238400000",
"number": "1881031144",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 955860",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631955860",
"telephone_number": "636-498-5944"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 GOOD SAMARITAN WAY STE 235",
"city": "MOUNT VERNON",
"state": "IL",
"postal_code": "628642402",
"telephone_number": "618-899-3980"
}
],
"practiceLocations": [
{
"address_1": "601 E. 15th Street",
"address_2": "UT Southwestern Austin General Surgery at UMCB",
"address_purpose": "LOCATION",
"city": "Austin",
"state": "TX",
"postal_code": "78701",
"country_code": "US",
"telephone_number": "512-324-7000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARTINS",
"first_name": "DANILO",
"middle_name": "ACHY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-05-28",
"last_updated": "2020-10-21",
"certification_date": "2020-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "TX",
"license": "BP10045821",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "IL",
"license": "036150510",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dmartins7273@direct-ehr-ssmhc.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "dmartins7273@direct-ehr-ssmhc.com",
"address_1": "5 Good Samaritan Way Ste 235",
"city": "Mount Vernon",
"state": "IL",
"country_code": "US",
"postal_code": "628642402",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/",
"affiliation": "N",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "FHIR API",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCD",
"address_1": "5 Good Samaritan Way Ste 235",
"city": "Mount Vernon",
"state": "IL",
"country_code": "US",
"postal_code": "628642402",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Mount Vernon, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2020; 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.