Individual provider Active NPI

David Lee Martin, M.D.

  • Family Medicine Physician
  • Austin, TX
National Provider Identifier
1912114307
Registry record updated Aug 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
H6406 Issued in TX
Practice address
12325 Hymeadow Dr Ste 2-103
Austin, TX 78750-1847
Phone
(512) 258-2500
Fax
(512) 258-2329
NPI assigned
May 17, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X H6406 TX
Family Medicine Physician 207Q00000X H6406 TX Primary

Addresses

Primary practice location

12325 Hymeadow Dr Ste 2-103
Austin, TX 78750-1847

Mailing address

12325 Hymeadow Dr Ste 2-103
Austin, TX 78750-1847
Phone (512) 258-2500

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
I20111222000318 TX Practitioner - General Practice 0648446690 Practice locations: Austin, TX

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
University of Texas Medical School at San Antonio, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

12325 Hymeadow Dr
Austin, TX 78750-1879
Phone (512) 258-2500

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
H6406TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
David Lee Martin, M.D., P.a. Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596672000000",
    "number": "1912114307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12325 HYMEADOW DR STE 2-103",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787501847",
            "telephone_number": "512-258-2500",
            "fax_number": "512-258-2329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12325 HYMEADOW DR STE 2-103",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787501847",
            "telephone_number": "512-258-2500",
            "fax_number": "512-258-2329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "DAVID",
        "middle_name": "LEE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-17",
        "last_updated": "2020-08-06",
        "certification_date": "2020-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "TX",
            "license": "H6406",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "H6406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.