Individual provider Active NPI

Adam A Martidis, MD

  • Retina Specialist (Ophthalmology) Physician
  • Colorado Springs, CO
National Provider Identifier
1881697910
Registry record updated Mar 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
License
DR.0063668 Issued in CO
Practice address
2770 N Union Blvd Ste 140
Colorado Springs, CO 80909-1183
Phone
(719) 473-9595
Fax
(719) 227-0669
NPI assigned
May 23, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X A95007 CA
Retina Specialist (Ophthalmology) Physician 207WX0107X DR.0063668 CO Primary

Addresses

Primary practice location

2770 N Union Blvd Ste 140
Colorado Springs, CO 80909-1183

Mailing address

2770 N Union Blvd Ste 140
Colorado Springs, CO 80909-1183
Phone (719) 473-9595

Other practice location 1

10035 Pearl Pass Vw Ste 110
Colorado Springs, CO 80924-8223
Phone (719) 473-9595

Other practice location 2

3711 Parker Blvd
Pueblo, CO 81008-2278
Phone (719) 473-9595

Other identifiers 1

IdentifierTypeStateIssuer
9000181814MedicaidCO

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address amartidis@rcsc.intellechartdirect.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20200424002424 CO Practitioner - Ophthalmology 9638148091 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Pittsburgh School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2770 N Union Blvd
Suite 140
Colorado Springs, CO 80909-1183
Phone 7194739595103

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A95007CAMDOphthalmology Physician
DR.0063668COMDRetina Specialist (Ophthalmology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Retina Consultants of Southern Colorado PLLC Ophthalmology CurrentSince Jun 15, 2020 Accepting new patients
Retina Consultants of Southern Colorado P C Ophthalmology CurrentSince Jun 15, 2020 Accepting new patients
Retina Consultants of Southern Colorado P C Ophthalmology Past Accepting new patients
Ophthalmic Partners of Delaware, PA Ophthalmology Past Accepting new patients
Ophthalmic Partners of New Jersey, PC Ophthalmology Past Accepting new patients
Georgia Retina, PC Ophthalmology PastSince Oct 1, 1995 Accepting new patients

Locations

2770 N Union Blvd
Ste 140
Colorado Springs, CO 80909
Phone (719) 473-9595

10035 Pearl Pass Vw
Ste 110
Colorado Springs, CO 80924
Phone (719) 473-9595

3711 Parker Blvd
Pueblo, CO 81008
Phone (719) 473-9595

Interoperability endpoints

  • Direct secure messaging: amartidis@rcsc.intellechartdirect.net
  • Direct secure messaging: a.martidis@direct.mesmg.com

Organizations & group practices 6

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": "1116806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648598400000",
    "number": "1881697910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2770 N UNION BLVD STE 140",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809091183",
            "telephone_number": "719-473-9595",
            "fax_number": "719-227-0669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2770 N UNION BLVD STE 140",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809091183",
            "telephone_number": "719-473-9595",
            "fax_number": "719-227-0669"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10035 Pearl Pass Vw Ste 110",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809248223",
            "country_code": "US",
            "telephone_number": "719-473-9595",
            "fax_number": "719-227-0669",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3711 Parker Blvd",
            "address_purpose": "LOCATION",
            "city": "Pueblo",
            "state": "CO",
            "postal_code": "810082278",
            "country_code": "US",
            "telephone_number": "719-473-9595",
            "fax_number": "719-227-0669",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIDIS",
        "first_name": "ADAM",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-23",
        "last_updated": "2022-03-30",
        "certification_date": "2022-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A95007",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "CO",
            "license": "DR.0063668",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000181814",
            "state": "CO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amartidis@rcsc.intellechartdirect.net",
            "affiliation": "N",
            "address_1": "2770 N Union Blvd Ste 140",
            "city": "Colorado Springs",
            "state": "CO",
            "country_code": "US",
            "postal_code": "809091183",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.