Individual provider Active NPI

Matthew D Martin, M.D.

  • Surgery Physician
  • Grand Rapids, MI
National Provider Identifier
1912169095
Registry record updated Aug 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
4301092559 Issued in MI
Practice address
245 Cherry St SE
Suite 302
Grand Rapids, MI 49503-4607
Phone
(616) 459-4131
Fax
(616) 459-6030
NPI assigned
Jun 30, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 4301092559 MI Primary
Student in an Organized Health Care Education/Training Program 390200000X NM

Addresses

Primary practice location

245 Cherry St SE
Suite 302
Grand Rapids, MI 49503-4607

Mailing address

245 Cherry St SE
Suite 302
Grand Rapids, MI 49503-4607
Phone (616) 459-4131

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
I20140731001493 MI Practitioner - Plastic and Reconstructive SurgeryPractitioner - Hand Surgery 9032335823 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive SurgeryAlso: Hand Surgery
Education
Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Spectrum Health HospitalsGroup PAC ID 8921904764, 161 clinicians
Hand and Plastic Surgery Centre PLCGroup PAC ID 0042272940, 4 clinicians
Center for Physical Rehabilitation IncGroup PAC ID 6901717768, 352 clinicians
Center for Physical Rehabilitation and Therapy LPGroup PAC ID 0941513303, 365 clinicians

Practice addresses (Care Compare)

100 Michigan Ave NE
Grand Rapids, MI 49503-2560
Phone (616) 391-1774

100 Michigan St Northeast
Corewell Health Grand Rapids Hospit
Grand Rapids, MI 49503-2560
Phone (616) 391-1774

1840 Wealthy Southeast
Corewell Health Grand Rapids Hospit
Grand Rapids, MI 49506-2921
Phone (616) 774-7444

1840 Wealthy St SE
Spectrum Health Preop Assessment
Grand Rapids, MI 49506-2921
Phone (616) 774-0276

245 Cherry St SE
Suite 302
Grand Rapids, MI 49503-4607
Phone (616) 459-4131

5060 Cascade Rd
Suite a
Grand Rapids, MI 49546-3808

5060 Cascade Rd SE
Suite a
Grand Rapids, MI 49546-3808

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.39 of 100Reported as group
Quality
85.52
Promoting interoperability
100
Improvement activities
40
Cost
57.34

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy15
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10
Melanoma (skin cancer) excision1-10
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Spectrum Health Hospitals CurrentSince Oct 19, 2015 Accepting new patients
Spectrum Health Hospitals CurrentSince Oct 19, 2015 Accepting new patients
Hand & Plastic Surgery Centre PLC CurrentSince Sep 1, 2014 Accepting new patients
Rehabilitation Medicine Associates,PLC Past Accepting new patients

Locations

100 Michigan St NE
Grand Rapids, MI 49503
Phone (616) 391-1680

100 Michigan St NE
#845
Grand Rapids, MI 49503
Phone (616) 391-8242

245 Cherry St SE
Ste 302
Grand Rapids, MI 49503
Phone (616) 459-4131

275 Michigan St NE
Grand Rapids, MI 49503
Phone (616) 267-7900

330 Barclay Ave NE
Ste 104
Grand Rapids, MI 49503
Phone (616) 267-9823

Interoperability endpoints

  • Direct secure messaging: mmartin40629@direct.trinity-health.org

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1214784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408579200000",
    "number": "1912169095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 CHERRY ST SE",
            "address_2": "SUITE 302",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495034607",
            "telephone_number": "616-459-4131",
            "fax_number": "616-459-6030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 CHERRY ST SE",
            "address_2": "SUITE 302",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495034607",
            "telephone_number": "616-459-4131",
            "fax_number": "616-459-6030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "MATTHEW",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-30",
        "last_updated": "2014-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "4301092559",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NM",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

Verify at the official NPI Registry.