NPIMap

Individual provider Active NPI

Marek A Martynowicz, MD

  • Pulmonary Disease Physician
  • Anchorage, AK
National Provider Identifier
1962581249
Registry record updated Jan 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
MEDS6690 Issued in AK
Practice address
3260 Providence Dr Ste 523
Anchorage, AK 99508-4608
Phone
(907) 222-1725
Fax
(907) 222-1726
NPI assigned
Nov 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X L1382 TX
Pulmonary Disease Physician 207RP1001X MEDS6690 AK Primary

Addresses

Primary practice location

3260 Providence Dr Ste 523
Anchorage, AK 99508-4608

Mailing address

4620 Virgo Ave
Anchorage, AK 99516-5301
Phone (907) 222-1725

Other practice location 1

240 Hospital Pl Ste 304
Soldotna, AK 99669-7559
Phone (907) 714-5611

Other identifiers 1

IdentifierTypeStateIssuer
1009470MedicaidAK

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mmartynowicz15653@ak.providencedirect.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK
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
I20091103000744 AK Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 8729073093 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists)
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Central Peninsula General Hospital IncGroup PAC ID 4587552575, 119 clinicians
Providence Health and Services WashingtonGroup PAC ID 2163335746, 32 clinicians

Practice addresses (Care Compare)

250 Hospital PL
Soldotna, AK 99669-7559
Phone (907) 714-4515

3200 Providence Dr
Anchorage, AK 99508-4615
Phone (907) 562-2211

Hospital & facility affiliations

  • Central Peninsula General Hospital Hospital, Soldotna, AK, CCN 020024
  • South Peninsula Hospital Hospital, Homer, AK, CCN 021313
  • Providence Alaska Medical Center Hospital, Anchorage, AK, CCN 020001

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
91.39
Promoting interoperability
95
Improvement activities
40
Cost
100

Merit-based Incentive Payment System (MIPS)

Final score
75.44 of 100Reported as group
Quality
62.56
Promoting interoperability
81
Improvement activities
40
Cost
67.88

Merit-based Incentive Payment System (MIPS)

Final score
70.59 of 100Reported as group
Quality
83.37
Promoting interoperability
100
Improvement activities
40
Cost
16.65

Merit-based Incentive Payment System (MIPS)

Final score
79.12 of 100Reported as group
Quality
81.91
Promoting interoperability
100
Improvement activities
40
Cost
40.93

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MEDS6690AKMDPulmonary Disease Physician
L1382TXMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Peninsula General Hospital, Inc CurrentSince Mar 1, 2021 Accepting new patients
Internal Medicine Associates, LLC Pulmonary Disease CurrentSince Aug 11, 2014 Accepting new patients
Central Peninsula General Hospital Inc. Current Accepting new patients
North Star Medical Imaging PLLC Current Accepting new patients
South Peninsula Hospital, Inc CurrentSince Oct 1, 2017 Accepting new patients
Andrzej Maciejewski MD, Inc CurrentSince Apr 20, 2020 Accepting new patients
South Peninsula Hospital, Inc. CurrentSince Oct 1, 2017 Accepting new patients
Central Peninsula General Hospital, Inc CurrentSince Mar 1, 2021 Accepting new patients
RBS Evolution of Juneau LLC Past Accepting new patients
RBS Evolution of Alaska LLC Pulmonary Disease PastSince Dec 7, 2025 Accepting new patients
Village Chiropractic and Wellness P.L.L.C. Past Accepting new patients

Locations

3200 Providence Dr
Anchorage, AK 99508
Phone (907) 261-3111

3260 Providence Dr
Ste 523
Anchorage, AK 99508
Phone (907) 222-1714

2841 Debarr Rd
Ste 50
Anchorage, AK 99508
Phone (907) 276-2811

3300 Providence Dr
Ste 309
Anchorage, AK 99508
Phone (907) 222-6240

4300 Bartlett St
Homer, AK 99603
Phone (907) 235-0369

240 Hospital Pl
Soldotna, AK 99669
Phone (907) 262-7762

240 Hospital Pl
Ste 304
Soldotna, AK 99669
Phone (907) 714-5611

250 Hospital Pl
Soldotna, AK 99669
Phone (907) 714-4404

3505 E Meridian Park Loop
Ste 220
Wasilla, AK 99654
Phone (907) 276-2811

Interoperability endpoints

  • Direct secure messaging: marek.martynowicz.1@14977.direct.athenahealth.com
  • Direct secure messaging: mmartynowicz15653@ak.providencedirect.org

Organizations & group practices 12

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 21

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 21

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641427200000",
    "number": "1962581249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4620 VIRGO AVE",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995165301",
            "telephone_number": "907-222-1725",
            "fax_number": "907-222-1726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3260 PROVIDENCE DR STE 523",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995084608",
            "telephone_number": "907-222-1725",
            "fax_number": "907-222-1726"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "240 Hospital Pl Ste 304",
            "address_purpose": "LOCATION",
            "city": "Soldotna",
            "state": "AK",
            "postal_code": "996697559",
            "country_code": "US",
            "telephone_number": "907-714-5611",
            "fax_number": "907-262-9110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTYNOWICZ",
        "first_name": "MAREK",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-06",
        "last_updated": "2022-01-06",
        "certification_date": "2022-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "TX",
            "license": "L1382",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "AK",
            "license": "MEDS6690",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1009470",
            "state": "AK"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mmartynowicz15653@ak.providencedirect.org",
            "affiliation": "N",
            "address_1": "240 Hospital Pl Ste 304",
            "city": "Soldotna",
            "state": "AK",
            "country_code": "US",
            "postal_code": "996697559",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

Verify at the official NPI Registry.