Individual provider Active NPI

William Joseph Martin, DPM

  • Podiatrist
  • Philadelphia, PA
National Provider Identifier
1942296470
Registry record updated Feb 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
SC001619L Issued in PA
Practice address
8TH & Race St
Temple University Foot & Ankle Institute
Philadelphia, PA 19107-2496
Phone
(215) 238-6600
Fax
(215) 629-4905
NPI assigned
Sep 20, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2014

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X SC001619L PA Primary
Foot & Ankle Surgery Podiatrist 213ES0103X SC001619L PA
Foot Surgery Podiatrist 213ES0131X SC001619L PA
Primary Podiatric Medicine Podiatrist 213EP1101X SC001619L PA

Addresses

Primary practice location

8TH & Race St
Temple University Foot & Ankle Institute
Philadelphia, PA 19107-2496

Mailing address

PO Box 827282
Temple University Foot & Ankle Institute
Philadelphia, PA 19182-7282
Phone (215) 238-6600

Other identifiers 20

IdentifierTypeStateIssuer
9018OtherPAELDER HEALTH / BRAVO
2307600OtherNJNJ MEDICAL ASSISTANCE
435792OtherPAHEALTH AMERICA HEALTH ASSURANCE
999740OtherPAKEYSTONE HEALTH PLAN PPO
1112242OtherPAKEYSTONE MERCY
2366249OtherPAAETNA
28824OtherPAHEALTH PARTNERS
3Y2561OtherPAHEALTH NET
480029985OtherPARAILROAD MEDICARE
0005043750005MedicaidPA
231365971OtherPAUNITED HEALTH CARE
368819OtherPAHMA
J76417OtherPAINTER-CITY
2092599OtherPACIGNA
231365971OtherPAHUMANA
231365971071OtherPATRI-CARE
504375MedicaidPA
P875775OtherPAOXFORD
0060559000OtherPAKEYSTONE HEALTH PLAN HMD
MA076417OtherPABLUE SHIELD OF PA

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110107000698 PA Practitioner - Podiatry 4789873613 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SC001619LPAMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Temple University of the Commonwealth System of Higher Education Past Accepting new patients
Temple University of the Commonwealth System of Higher Education Past Accepting new patients
Temple University of the Commonwealth System of Higher Education Podiatrist Past Accepting new patients

Organizations & group practices 4

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": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391731200000",
    "number": "1942296470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 827282",
            "address_2": "TEMPLE UNIVERSITY FOOT & ANKLE INSTITUTE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191827282",
            "telephone_number": "215-238-6600",
            "fax_number": "215-629-0716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8TH & RACE ST",
            "address_2": "TEMPLE UNIVERSITY FOOT & ANKLE INSTITUTE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191072496",
            "telephone_number": "215-238-6600",
            "fax_number": "215-629-4905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "WILLIAM",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-20",
        "last_updated": "2014-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "PA",
            "license": "SC001619L",
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "PA",
            "license": "SC001619L",
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "PA",
            "license": "SC001619L",
            "primary": false
        },
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "PA",
            "license": "SC001619L",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ELDER HEALTH / BRAVO",
            "identifier": "9018",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NJ MEDICAL ASSISTANCE",
            "identifier": "2307600",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH AMERICA HEALTH ASSURANCE",
            "identifier": "435792",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE HEALTH PLAN PPO",
            "identifier": "999740",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE MERCY",
            "identifier": "1112242",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2366249",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS",
            "identifier": "28824",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NET",
            "identifier": "3Y2561",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "480029985",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0005043750005",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "231365971",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMA",
            "identifier": "368819",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INTER-CITY",
            "identifier": "J76417",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "2092599",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "231365971",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRI-CARE",
            "identifier": "231365971071",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "504375",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P875775",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE HEALTH PLAN HMD",
            "identifier": "0060559000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF PA",
            "identifier": "MA076417",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.