Individual provider Active NPI

Danilo Achy Martins, M.D.

  • Surgery Physician
  • Mount Vernon, IL
National Provider Identifier
1881031144
Registry record updated Oct 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
036150510 Issued in IL
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, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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, MO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190925002459 IL Practitioner - General Surgery 5294025854 Reassigns benefits to 2 organizations
I20250708002790 MO Practitioner - General Surgery 5294025854 Reassigns benefits to 1 organization

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
University Health PhysiciansGroup PAC ID 1153235825, 344 clinicians

Practice addresses (Care Compare)

2301 Holmes St
Kansas City, MO 64108-2640
Phone (816) 404-1000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
McDonough County Hospital District CurrentSince Jul 31, 2025 Accepting new patients
McDonough County Hospital District CurrentSince Jul 31, 2025 Accepting new patients
University Health Physicians Surgery CurrentSince Aug 1, 2025 Accepting new patients
Physician Services Corporation of Southern Illinois Inc. Surgery CurrentSince Sep 1, 2019 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.

Hospital & facility affiliations 1

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

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

Verify at the official NPI Registry.