Jay Ellis Martin, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

35-075105 Issued in OH

Practice address

3535 Fishinger Blvd
Suite 285
Hilliard, OH 43026-7504

Phone

(614) 527-2562

Fax

(614) 527-2571

NPI assigned

Nov 2, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

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

Merit-based Incentive Payment System (MIPS)

Final score

87.04 of 100Reported as group

Quality

85.5

Improvement activities

40

Cost

83.38

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jmartin18885@copcp.medicity.net

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.

• Central Ohio Primary Care Physicians, Inc.

  • Internal Medicine Physician
  • Westerville, OH
  • NPI 1194705194
  Medicare reassignment NPD
• Central Ohio Primary Care Physicians Inc

  • Hospitalist Physician
  • Westerville, OH
  • NPI 1518398866
  NPD
• Central Ohio Primary Care Physicians, Inc.

  • Clinical Medical Laboratory
  • Westerville, OH
  • NPI 1639279045
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458604800000",
    "number": "1891873162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3535 FISHINGER BLVD",
            "address_2": "SUITE 285",
            "city": "HILLIARD",
            "state": "OH",
            "postal_code": "430267504",
            "telephone_number": "614-527-2562",
            "fax_number": "614-527-2571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 FISHINGER BLVD",
            "address_2": "SUITE 285",
            "city": "HILLIARD",
            "state": "OH",
            "postal_code": "430267504",
            "telephone_number": "614-527-2562",
            "fax_number": "614-527-2571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "JAY",
        "middle_name": "ELLIS",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-02",
        "last_updated": "2016-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35-075105",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2180198",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Surendran Manoharan
• Alison Marsh, RN
• Cheryl Ann Marshall, RPH
• Stephanie Marshall, LPC
• Jacqueline Marie Martin
• Molly Rose Martincin, LISW-S
• Elizabeth R Martinelli, PA-C
• Cheryl Mason
• Kelly Massenelli, MSW
• Matrix RX LLC

• Internal Medicine Physician in Hilliard, OH
• Providers in Hilliard, OH by specialty
• Internal Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2016; 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.

Verify at the official NPI Registry.