Individual provider Active NPI

Edmund F Martin, M.D.

  • Internal Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1932139888
Registry record updated Apr 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD425709 Issued in PA
Practice address
333 Cottman Ave
Philadelphia, PA 19111-2434
Phone
(215) 728-2844
Fax
(215) 214-1425
NPI assigned
Jul 4, 2006
Last updated
Apr 6, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD425709 PA Primary

Addresses

Primary practice location

333 Cottman Ave
Philadelphia, PA 19111-2434

Mailing address

2450 W Hunting Park Ave
Philadelphia, PA 19129-1302
Phone (215) 728-2844

Other practice location 1

7600 Central Ave
Philadelphia, PA 19111-2442
Phone (215) 728-2000

Other identifiers 3

IdentifierTypeStateIssuer
100727800OtherPAMEDICAID GROUP TPI
CD4829OtherPARAIL ROAD MEDICARE TPI
597586OtherPAMEDICARE GROUP TPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20050726000671 PA Practitioner - HospitalistPractitioner - Internal Medicine 7719914233 Reassigns benefits to 2 organizations
Practice locations: Philadelphia, PA

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aria Health Physician ServicesGroup PAC ID 3577467018, 456 clinicians

Practice addresses (Care Compare)

3998 Red Lion Rd
Philadelphia, PA 19114-1436
Phone (215) 612-4000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD425709PAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aria Health Physician Services CurrentSince Jul 1, 2006 Accepting new patients
Temple Physicians Inc Internal Medicine CurrentSince Oct 12, 2011 Accepting new patients
Temple Physician Inc. Internal Medicine CurrentSince Oct 12, 2011 Accepting new patients
Aria Health Physician Services Current Accepting new patients
Aria Health Physician Services Internal Medicine CurrentSince Jul 1, 2006 Accepting new patients
Temple Physicians Inc Internal Medicine Current Accepting new patients
Temple Physicians Inc Past Accepting new patients
Bloomsburg Emergency Physicians, LLC Past Accepting new patients
Temple Physicians Inc Internal Medicine Past Accepting new patients
Temple Physicians Inc Internal Medicine Past Accepting new patients
Temple Physicians Inc Past Accepting new patients

Locations

515 Pennsylvania Ave
Ste A
Fort Washington, PA 19034
Phone (215) 540-5408

515 Pennsylvania Ave
Fl 2
Ft Washington, PA 19034
Phone (215) 540-0120

10800 Knights Rd
Philadelphia, PA 19114
Phone (215) 612-2610

3998 Red Lion Rd
Philadelphia, PA 19114
Phone (215) 612-4060

3998 Red Lion Rd
Ste 209
Philadelphia, PA 19114
Phone (215) 370-5176

4900 Frankford Ave
Philadelphia, PA 19124
Phone (215) 612-2610

5000 Frankford Ave
Ste 1B
Philadelphia, PA 19124
Phone (215) 583-2355

7600 Central Ave
Philadelphia, PA 19111
Phone (215) 707-5522

Organizations & group practices 11

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 2

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": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522972800000",
    "number": "1932139888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2450 W HUNTING PARK AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191291302",
            "telephone_number": "215-728-2844",
            "fax_number": "215-214-1425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 COTTMAN AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191112434",
            "telephone_number": "215-728-2844",
            "fax_number": "215-214-1425"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7600 Central Ave",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191112442",
            "country_code": "US",
            "telephone_number": "215-728-2000",
            "fax_number": "215-214-4119",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "EDMUND",
        "middle_name": "F",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-04",
        "last_updated": "2018-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD425709",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID GROUP TPI",
            "identifier": "100727800",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE TPI",
            "identifier": "CD4829",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP TPI",
            "identifier": "597586",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.