NPIMap

Individual provider Active NPI

Martin Leo Martucci, M.D.

  • Pain Medicine Physician
  • Tulsa, OK
National Provider Identifier
1962405035
Registry record updated May 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
23167 Issued in OK
Practice address
10810 E 45TH St Ste 400
Tulsa, OK 74146-3806
Phone
(918) 742-7030
Fax
(918) 742-9958
NPI assigned
May 23, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine Physician 208VP0000X 23167 OK Primary
Pain Medicine (Anesthesiology) Physician 207LP2900X 23167 OK

Addresses

Primary practice location

10810 E 45TH St Ste 400
Tulsa, OK 74146-3806

Mailing address

10810 E 45TH St Ste 400
Tulsa, OK 74146-3806
Phone (918) 742-7030

Other identifiers 1

IdentifierTypeStateIssuer
200004950AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040123000593 OK Practitioner - Pain ManagementPractitioner - Anesthesiology 5799687380 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pain ManagementAlso: Anesthesiology
Education
University of Texas Southwestern Medical School at Dallas, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tulsa Pain Consultants IncGroup PAC ID 7618878406, 4 clinicians

Practice addresses (Care Compare)

10810 E 45TH St
Suite 400
Tulsa, OK 74146-3806
Phone (918) 742-7030

Hospital & facility affiliations

  • Hillcrest Medical Center Hospital, Tulsa, OK, CCN 370001
  • Saint Francis Hospital, Inc Hospital, Tulsa, OK, CCN 370091
  • Ascension St John Medical Center Hospital, Tulsa, OK, CCN 370114
  • Cherokee Nation W W Hastings Indian Hospital Hospital, Tahlequah, OK, CCN 370171

Merit-based Incentive Payment System (MIPS)

Final score
53.96 of 100Reported as individual
Quality
58.32
Promoting interoperability
0
Improvement activities
40
Cost
71.55

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
23167OKMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tulsa Pain Consultants, Inc CurrentSince Jan 1, 2003 Accepting new patients
Hatton Anesthesia LLC PastSince Jan 1, 2003 Accepting new patients

Locations

10810 E 45th St
Ste 400
Tulsa, OK 74146
Phone (918) 742-7030

2000 S Wheeling Ave
Ste 600
Tulsa, OK 74104
Phone (918) 742-7030

Organizations & group practices 2

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 7

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": "1116806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778630400000",
    "number": "1962405035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10810 E 45TH ST STE 400",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741463806",
            "telephone_number": "918-742-7030",
            "fax_number": "918-742-9958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10810 E 45TH ST STE 400",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741463806",
            "telephone_number": "918-742-7030",
            "fax_number": "918-742-9958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTUCCI",
        "first_name": "MARTIN",
        "middle_name": "LEO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-23",
        "last_updated": "2026-05-13",
        "certification_date": "2026-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "OK",
            "license": "23167",
            "primary": true
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "OK",
            "license": "23167",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200004950A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.