Individual provider Active NPI

Denny R Martin, DO

  • Obstetrics & Gynecology Physician
  • Lansing, MI
National Provider Identifier
1902936156
Registry record updated Jun 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
5101016319 Issued in MI
Practice address
1200 E Michigan Ave Ste 145
Lansing, MI 48912-1897
Phone
(517) 353-9385
Fax
(517) 353-9421
NPI assigned
Mar 6, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 5101016319 MI Primary

Addresses

Primary practice location

1200 E Michigan Ave Ste 145
Lansing, MI 48912-1897

Mailing address

804 Service Rd Ste A109B
East Lansing, MI 48824-7015
Phone (517) 353-9385

Other practice location 1

1200 E Michigan Ave
Ste #700
Lansing, MI 48912-1800
Phone (517) 364-5888

Other identifiers 1

IdentifierTypeStateIssuer
114766493MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20090713000463 MI Practitioner - Obstetrics/Gynecology 8729130349 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Michigan State University College of Osteopathic Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Msu Health Care Inc.Group PAC ID 8628404936, 201 clinicians

Practice addresses (Care Compare)

1200 E Michigan Ave
Suite 145
Lansing, MI 48912-1897
Phone (517) 364-5440

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Msu Health Care Inc. CurrentSince Jun 1, 2021 Accepting new patients
Ascension Genesys Hospital CurrentSince Jul 1, 2009 Accepting new patients
Edward W Sparrow Hospital Association CurrentSince May 1, 2022 Accepting new patients
Edward W Sparrow Hospital Association CurrentSince Jul 1, 2013 Accepting new patients
County of Ingham CurrentSince Jul 1, 2010 Accepting new patients
Edward W. Sparrow Hospital Association CurrentSince Feb 1, 2019 Accepting new patients
Msu Health Care Inc. Obstetrics & Gynecology CurrentSince Jun 1, 2021 Accepting new patients
Msu Health Care Inc Current Accepting new patients
Sparrow Carson Hospital Current Accepting new patients
Edward W Sparrow Hospital Association Current Accepting new patients
Sparrow Carson Hospital Obstetrics & Gynecology CurrentSince Oct 1, 2019 Accepting new patients
County of Ingham Current Accepting new patients
Edward W. Sparrow Hospital Association Current Accepting new patients
Henry Ford Health Genesys Hospital Current Accepting new patients
Henry Ford Health Genesys Hospital CurrentSince Jul 1, 2009 Accepting new patients
County of Ingham CurrentSince Jul 1, 2010 Accepting new patients
Edward W. Sparrow Hospital Association Current Accepting new patients
Edward W Sparrow Hospital Association CurrentSince Jul 1, 2013 Accepting new patients
Sparrow Carson Hospital CurrentSince Oct 1, 2019 Accepting new patients
Msu Health Care Inc. Past Accepting new patients

Locations

8175 Reliable Pkwy
Chicago, IL 60686

804 Service Rd
Ste A109B
East Lansing, MI 48824
Phone (517) 884-2976

4660 S Hagadorn Rd
Ste 500
East Lansing, MI 48823
Phone (517) 432-6144

4650 S Hagadorn Rd
Ste 100
East Lansing, MI 48823
Phone (517) 353-4830

4660 S Hagadorn Rd
Ste 405
East Lansing, MI 48823
Phone (517) 884-8600

420 S Saginaw St
Flint, MI 48502
Phone (810) 232-3522

1140 E Michigan Ave
Ste 100
Lansing, MI 48912
Phone (517) 364-9402

1200 E Michigan Ave
Ste 655
Lansing, MI 48912
Phone (517) 267-2460

1115 S Pennsylvania Ave
Lansing, MI 48912
Phone (517) 346-4700

1210 W Saginaw St
Lansing, MI 48915
Phone (517) 364-7180

1215 E Michigan Ave
Lansing, MI 48912
Phone (517) 336-8080

2909 E Grand River Ave
Ste 202
Lansing, MI 48912
Phone (517) 364-8686

1200 E Michigan Ave
Ste 145
Lansing, MI 48912
Phone (517) 364-5440

1200 E Michigan Ave
Ste 700
Lansing, MI 48912
Phone (517) 364-5888

1200 E Michigan Ave
Ste 345
Lansing, MI 48912
Phone (517) 364-5610

1200 E Michigan Ave
Ste 325
Lansing, MI 48912
Phone (517) 364-5160

1600 W Grand River Ave
Ste 2
Okemos, MI 48864
Phone (517) 349-6560

901 S Oakland St
Ste 102
Saint Johns, MI 48879
Phone (989) 227-3435

Interoperability endpoints

  • Direct secure messaging: denny.martin.1@25394.direct.athenahealth.com
  • Direct secure messaging: denny.martin.p1@direct.ichd.nextgenshare.com
  • FHIR API: https://api.platform.athenahealth.com/8209/brand/5/csg/21/fhir/r4

Organizations & group practices 20

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.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687824000000",
    "number": "1902936156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 SERVICE RD STE A109B",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488247015",
            "telephone_number": "517-353-9385",
            "fax_number": "517-353-9421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 E MICHIGAN AVE STE 145",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489121897",
            "telephone_number": "517-353-9385",
            "fax_number": "517-353-9421"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 E Michigan Ave",
            "address_2": "Ste #700",
            "address_purpose": "LOCATION",
            "city": "Lansing",
            "state": "MI",
            "postal_code": "489121800",
            "country_code": "US",
            "telephone_number": "517-364-5888",
            "fax_number": "517-364-5889",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "DENNY",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-06",
        "last_updated": "2023-06-27",
        "certification_date": "2023-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "5101016319",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114766493",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, MI

Sources for this page

Verify at the official NPI Registry.