Individual provider Active NPI

Colin Alex Martin, MD

  • Pediatric Surgery Physician
  • Saint Louis, MO
National Provider Identifier
1881897726
Registry record updated Mar 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Surgery PhysicianTaxonomy code 2086S0120X
License
2023034985 Issued in MO
Practice address
1 Childrens PL
Div Surg Ped, Ste 2a
Saint Louis, MO 63110-1002
Phone
(314) 454-6022
Fax
(866) 422-8308
NPI assigned
Jun 7, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Surgery Physician 2086S0120X 2023034985 MO Primary
Surgery Physician 208600000X 2023034985 MO

Addresses

Primary practice location

1 Childrens PL
Div Surg Ped, Ste 2a
Saint Louis, MO 63110-1002

Mailing address

PO Box 7412011
Chicago, IL 60674-2011
Phone (314) 454-6022

Other practice location 1

1011 E Montclair St
Springfield, MO 65807-5075
Phone (417) 269-3700

Other identifiers 1

IdentifierTypeStateIssuer
200130074MedicaidMO

Electronic endpoints 1

TypeEndpointUseAffiliation
FHIR URL https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Washington University

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, 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
I20120711000533 AL Practitioner - Pediatric MedicinePractitioner - General Surgery 1355506601 Reassigns benefits to 2 organizations
I20231219000241 MO Practitioner - Pediatric Medicine 1355506601 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Wayne State University School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Washington UniversityGroup PAC ID 9830008770, 2,968 clinicians

Practice addresses (Care Compare)

1 Childrens PL
Saint Louis, MO 63110-1002
Phone (314) 454-6000

Hospital & facility affiliations

  • St Louis Childrens Hospital Hospital, Saint Louis, MO, CCN 263301

Merit-based Incentive Payment System (MIPS)

Final score
84.2 of 100Reported as group
Quality
71.6
Promoting interoperability
100
Improvement activities
40
Cost
75.75

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2023034985MOMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Washington University CurrentSince Oct 21, 2023 Accepting new patients
USA Health Physician Billing Services LLC Surgery CurrentSince Nov 1, 2022 Accepting new patients
Lester E Cox Medical Centers Pediatric Surgery CurrentSince Jul 11, 2025 Accepting new patients
Washington University CurrentSince Oct 21, 2023 Accepting new patients
University of Alabama Health Services Foundation, PC. CurrentSince Aug 1, 2012 Accepting new patients
Lester E Cox Medical Centers CurrentSince Jul 11, 2025 Accepting new patients
USA Health Physician Billing Services LLC CurrentSince Nov 1, 2022 Accepting new patients
Washington University Past Accepting new patients
St. Louis Children'S Hospital Past Accepting new patients
Lester E. Cox Medical Centers Past Accepting new patients

Locations

619 19th St S
Birmingham, AL 35249

619 19th St S
Birmingham, AL 35233
Phone (205) 934-6405

1600 7th Ave S
#300
Birmingham, AL 35233
Phone (205) 638-9688

75 S University Blvd
Unit 6000
Mobile, AL 36608
Phone (251) 660-5555

75 S University Blvd
Unit 6500
Mobile, AL 36608
Phone (251) 445-8282

660 S Euclid Ave
#8235
Saint Louis, MO 63110
Phone (314) 454-6070

1 Childrens Pl
Saint Louis, MO 63110
Phone (314) 454-2076

1 Childrens Pl
Ste 6110
Saint Louis, MO 63110

1 Childrens Pl
Ste 2A
Saint Louis, MO 63110
Phone (314) 454-6022

660 S Euclid Ave
Saint Louis, MO 63110

1 Childrens Pl
Ste 2D
Saint Louis, MO 63110
Phone (314) 454-6300

1011 E Montclair St
Springfield, MO 65807
Phone (417) 269-1010

Interoperability endpoints

  • FHIR API: https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

Organizations & group practices 10

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.

Hospital & facility affiliations 4

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": "1181174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772755200000",
    "number": "1881897726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7412011",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606742011",
            "telephone_number": "314-454-6022",
            "fax_number": "866-422-8308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CHILDRENS PL",
            "address_2": "DIV SURG PED, STE 2A",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631101002",
            "telephone_number": "314-454-6022",
            "fax_number": "866-422-8308"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1011 E Montclair St",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MO",
            "postal_code": "658075075",
            "country_code": "US",
            "telephone_number": "417-269-3700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "COLIN",
        "middle_name": "ALEX",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-07",
        "last_updated": "2026-03-06",
        "certification_date": "2026-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0120X",
            "taxonomy_group": "",
            "desc": "Surgery, Pediatric Surgery",
            "state": "MO",
            "license": "2023034985",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MO",
            "license": "2023034985",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200130074",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "Y",
            "affiliationName": "Washington University",
            "address_1": "1 Childrens Pl",
            "address_2": "Div Surg Ped, Ste 2A",
            "city": "Saint Louis",
            "state": "MO",
            "country_code": "US",
            "postal_code": "631101002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.