Individual provider Active NPI

David C Martin, M.D.,P.A.

  • Family Medicine Physician
  • Tyler, TX
National Provider Identifier
1912013665
Registry record updated Feb 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
K9119 Issued in TX
Practice address
619 S Fleishel Ave Ste 201
Tyler, TX 75701-2004
Phone
(903) 606-5777
NPI assigned
Aug 22, 2006
Last updated
Feb 17, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 17, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X K9119 TX Primary
Family Medicine Physician 207Q00000X 052410 GA

Addresses

Primary practice location

619 S Fleishel Ave Ste 201
Tyler, TX 75701-2004

Mailing address

PO Box 846098
Dallas, TX 75284-6098
Phone (903) 324-6450

Other practice location 1

419 Wsw Loop 323 Ste 400
Tyler, TX 75701-7063
Phone (903) 595-8077

Other identifiers 8

IdentifierTypeStateIssuer
031355302MedicaidTX
752616977118OtherTXTRICARE
8DB081OtherTXBCBS
031355303MedicaidTX
75-2616977-108OtherTXTRICARE
8DC095OtherTXBCBS
460041120AMedicaidGA
75-2616977-007OtherTXTRICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20111219000713 TX Practitioner - Family Practice 6305039041 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Texas Medical School at San Antonio, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
East Texas Functional Medicine Center, LLCGroup PAC ID 7911319496, 3 clinicians

Practice addresses (Care Compare)

419 WSW 323 Loop
Suite 400 Ihm
Tyler, TX 75701-7063
Phone (903) 595-8077

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
052410GAMDFamily Medicine Physician
K9119TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
East Texas Functional Medicine Center, LLC CurrentSince Feb 10, 2026 Accepting new patients
Christus Trinity Clinic Texas Family Medicine CurrentSince Jan 3, 2012 Accepting new patients
Mother Frances Hospital Regional Health Care Center CurrentSince Nov 15, 2011 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Jan 3, 2012 Accepting new patients
Texas Spine and Joint Hospital, LLC CurrentSince Oct 1, 2022 Accepting new patients

Locations

3203 S Main St
Lindale, TX 75771
Phone (903) 266-4000

1814 Roseland Blvd
Tyler, TX 75701
Phone (903) 525-3300

419 Wsw Loop 323
Ste 400
Tyler, TX 75701
Phone (903) 595-8077

5414 S Broadway Ave
Tyler, TX 75703
Phone (903) 581-1601

619 S Fleishel Ave
Ste 201
Tyler, TX 75701
Phone (903) 593-0900

630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888

800 E Dawson St
Tyler, TX 75701
Phone (903) 531-5018

Interoperability endpoints

  • Direct secure messaging: dmartin8569@christushealth.direct-ci.net
  • FHIR API: https://fhir4.healow.com/fhir/r4/BABEDD/Endpoint/BABEDD

Organizations & group practices 5

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 1

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": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771286400000",
    "number": "1912013665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 846098",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752846098",
            "telephone_number": "903-324-6450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 S FLEISHEL AVE STE 201",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757012004",
            "telephone_number": "903-606-5777"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "419 Wsw Loop 323 Ste 400",
            "address_purpose": "LOCATION",
            "city": "Tyler",
            "state": "TX",
            "postal_code": "757017063",
            "country_code": "US",
            "telephone_number": "903-595-8077",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "DAVID",
        "middle_name": "C",
        "credential": "M.D.,P.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-22",
        "last_updated": "2026-02-17",
        "certification_date": "2026-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K9119",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "052410",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "031355302",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "752616977118",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8DB081",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "031355303",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "75-2616977-108",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8DC095",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "460041120A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "75-2616977-007",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tyler, TX

Sources for this page

Verify at the official NPI Registry.