Individual provider Active NPI

Macy Martinson, MD

  • Nephrology Physician
  • Hilo, HI
National Provider Identifier
1881919348
Registry record updated Sep 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
MD-23479 Issued in HI
Practice address
633 Ponahawai St Ste 103
Hilo, HI 96720-7601
Phone
(808) 481-2300
Fax
(808) 481-2301
NPI assigned
Mar 28, 2010
Last updated
Sep 25, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X MD171945 OR
Nephrology Physician 207RN0300X MD60548636 WA
Nephrology Physician 207RN0300X MD-23479 HI Primary

Addresses

Primary practice location

633 Ponahawai St Ste 103
Hilo, HI 96720-7601

Mailing address

PO Box 3068
Portland, OR 97208-3068
Phone (503) 229-7976

Other practice location 1

1130 NW 22nd Avenue, Ste 640
Portland, OR 97210-2900
Phone (503) 229-7976

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, HI2 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
I20150921002049 OR Practitioner - NephrologyPractitioner - Internal Medicine 9931340304 Reassigns benefits to 1 organization
I20230912004384 HI Practitioner - Nephrology 9931340304 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
West Virginia University School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northwest Renal Clinic IncGroup PAC ID 8628065836, 39 clinicians

Practice addresses (Care Compare)

633 Ponahawai St
Suite 103
Hilo, HI 96720-7601
Phone (808) 481-2300

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD-23479HIMDNephrology Physician
MD171945ORMDNephrology Physician
MD60548636WAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Renal Clinic, Inc. Nephrology CurrentSince Sep 9, 2015 Accepting new patients
Northwest Renal Clinic, Inc. Nephrology CurrentSince Sep 9, 2015 Accepting new patients
Northwest Renal Clinic, Inc. Nephrology Current Accepting new patients

Locations

633 Ponahawai St
Ste 103
Hilo, HI 96720
Phone (808) 481-2300

105 Maui Lani Pkwy
Ste 100
Wailuku, HI 96793
Phone (808) 244-9555

10201 SE Main St
Ste 27
Portland, OR 97216
Phone (503) 256-0877

1130 NW 22nd Ave
Ste 640
Portland, OR 97210
Phone (503) 229-7976

Interoperability endpoints

  • Direct secure messaging: mmartinson20851@hhsc.direct-ci.com
  • Direct secure messaging: mmartinson37101@direct.acumenmd.com

Organizations & group practices 3

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 2

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": "1269734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758758400000",
    "number": "1881919348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3068",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972083068",
            "telephone_number": "503-229-7976",
            "fax_number": "503-274-4767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "633 PONAHAWAI ST STE 103",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967207601",
            "telephone_number": "808-481-2300",
            "fax_number": "808-481-2301"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1130 NW 22nd Avenue, Ste 640",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972102900",
            "country_code": "US",
            "telephone_number": "503-229-7976",
            "fax_number": "503-274-4767",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTINSON",
        "first_name": "MACY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-28",
        "last_updated": "2025-09-25",
        "certification_date": "2025-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "OR",
            "license": "MD171945",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "WA",
            "license": "MD60548636",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "HI",
            "license": "MD-23479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilo, HI

Sources for this page

Verify at the official NPI Registry.