Individual provider Active NPI

Amy Ruth Martin, M.D.

  • Emergency Medicine Physician
  • Chattanooga, TN
National Provider Identifier
1942437314
Registry record updated Aug 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MD0000046865 Issued in TN
Practice address
975 E 3Rd St
Erlanger Medical Center
Chattanooga, TN 37403-2147
Phone
(423) 778-7000
NPI assigned
Jun 12, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MD0000046865 TN Primary
Emergency Medicine Physician 207P00000X P2296 TX
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

975 E 3Rd St
Erlanger Medical Center
Chattanooga, TN 37403-2147

Mailing address

6308 Levi Rd
Hixson, TN 37343-2624
Phone (615) 275-6464

Other identifiers 2

IdentifierTypeStateIssuer
302353305MedicaidTX
302353306OtherTXCSHCN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, TX, NM3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20111013000574 TN Practitioner - Emergency Medicine 6406028562 Reassigns benefits to 1 organization
I20120719000626 TX Practitioner - Emergency Medicine 6406028562 Reassigns benefits to 2 organizations
I20201124001894 NM Practitioner - Emergency Medicine 6406028562 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of South Alabama College of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Taos Health Systems Inc Holy Cross HospitalGroup PAC ID 8224937412, 40 clinicians

Practice addresses (Care Compare)

1397 Weimer Rd
Taos, NM 87571-6253
Phone (575) 751-8911

Hospital & facility affiliations

  • Holy Cross Hospital a Div of Taos Health Systems Hospital, Taos, NM, CCN 321310

Merit-based Incentive Payment System (MIPS)

Final score
90.02 of 100Reported as group
Quality
86.32
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD0000046865TNMDEmergency Medicine Physician
P2296TXMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Texas Health Science Center at San Antonio Family Medicine CurrentSince Jul 5, 2016 Accepting new patients
The University of Texas Health Science Center at San Antonio CurrentSince Jul 5, 2016 Accepting new patients
Taos Health Systems Inc Holy Cross Hospital Emergency Medicine CurrentSince Nov 1, 2020 Accepting new patients
Tennessee River Physicians, PLLC Emergency Medicine CurrentSince Oct 17, 2017 Accepting new patients
Victoria Emergency Partners LLC Emergency Medicine CurrentSince May 1, 2017 Accepting new patients
Tennessee River Physicians, PLLC Emergency Medicine Current Accepting new patients
Emergency Physicians PC Emergency Medicine Past Accepting new patients
Taos Health Systems, Inc., Holy Cross Hospital Past Accepting new patients
Tennessee Em-I Medical Services, PC Emergency Medicine Past Accepting new patients

Locations

1397 Weimer Rd
Taos, NM 87571
Phone (575) 751-5746

975 E 3rd St
Chattanooga, TN 37403
Phone (423) 266-1499

1110 N Sarah Dewitt Dr
Gonzales, TX 78629
Phone (830) 672-3845

333 N Santa Rosa
San Antonio, TX 78207
Phone (210) 704-2190

2827 Babcock Rd
San Antonio, TX 78229
Phone (210) 253-9955

7703 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 450-3700

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

Organizations & group practices 9

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 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": "1244764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470355200000",
    "number": "1942437314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6308 LEVI RD",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "373432624",
            "telephone_number": "615-275-6464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "975 E 3RD ST",
            "address_2": "ERLANGER MEDICAL CENTER",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374032147",
            "telephone_number": "423-778-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "AMY",
        "middle_name": "RUTH",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-12",
        "last_updated": "2016-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TN",
            "license": "MD0000046865",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "P2296",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "302353305",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CSHCN",
            "identifier": "302353306",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.