Active NPI
David Zachary Martin, M.D.
- Plastic Surgery Physician
- Baltimore, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- D0058474
- Practice address
- 5601 Loch Raven Blvd BLDG Suite101
Baltimore, MD 21239-2945 - Phone
- (443) 444-1392
- Fax
- (443) 444-3988
- NPI assigned
- Nov 14, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | D0058474 | MD | Primary |
Addresses
Primary practice location
5601 Loch Raven Blvd BLDG Suite101
Baltimore, MD 21239-2945
Mailing address
5601 Loch Raven Blvd BLDG Suite101
Baltimore, MD 21239-2945
Phone (443) 444-1392
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7283425 | Other | MD | AETNA ALL PLANS EXCEPT HMO |
| 405073800 | Medicaid | MD | |
| 1972585206 | Other | MD | BRAVO |
| P01084428 | Other | MD | RAILROAD MEDICARE |
| 107110 | Other | MD | JOHN HOPKINS EHP PPMCO USFHP |
| 01642018 | Other | MD | AMERIGROUP |
| 1188979 | Other | MD | CIGNA |
| AB870001 | Other | MD | CAREFIRST BLUECROSS BLUESHIELD |
| 1972585206 | Other | MD | MARYLAND PHYSICIANS CARE |
| 1972585206 | Other | MD | UNITED HEALTHCARE - ALL PRODUCTS EXCEPT AMERICHOICE |
| 8508989 | Other | MD | AETNA HMO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Plastic and Reconstructive Surgery
- Education
- George Washington University School of Medicine, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5601 Lloch Raven Blvd
Baltimore, MD 21239-2945
Phone (443) 444-2626
Hospital & facility affiliations
- Medstar Health Home Care
- Medstar Good Samaritan Hospital
- Medstar Franklin Square Medical Center
- Medstar Union Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.34 of 100
- Quality
- 67.9
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 69.47
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Mastectomy | 1-10 |
| Melanoma (skin cancer) excision | 35 |
| Removal of tissue | 2050 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 1-10 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0058474 | MD | MD | Plastic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medstar Medical Group II LLC | Current | Accepting new patients | |
| Medstar Medical Group II LLC | Current | Accepting new patients |
Locations
5601 Loch Raven Blvd
Baltimore, MD 21239
Phone (443) 444-4714
5601 Loch Raven Blvd
Ofc
Baltimore, MD 21239
Phone (410) 433-4300
5601 Loch Raven Blvd
#B
Baltimore, MD 21239
Phone (443) 687-9990
5601 Loch Raven Blvd
Ste 200
Baltimore, MD 21239
Phone (443) 444-4288
5601 Loch Raven Blvd
Bldg 101
Baltimore, MD 21239
Phone (410) 433-4300
5601 Loch Raven Blvd
Ste 101
Baltimore, MD 21239
Phone (410) 433-4300
5601 Loch Raven Blvd
Ste 206
Baltimore, MD 21239
Phone (410) 464-5600
1406 Crain Hwy S
Ste 106
Glen Burnie, MD 21061
Phone (410) 768-6440
1406 Crain Hwy S
Glen Burnie, MD 21061
Phone (410) 768-6440
7501 Greenway Center Dr
Ste 220
Greenbelt, MD 20770
Phone (240) 965-7358
Ownership & related parties
All facility ownership & control disclosures 2
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Medstar Union Memorial Hospital | Hospital | Corporate Director | Nov 1, 2018 |
| Medstar Good Samaritan Hospital | Hospital | Corporate Director | Nov 1, 2018 |
Owned or controlled facilities with NPI records 2
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- General Acute Care Hospital
- Baltimore, MD
- NPI 1811084718
Corporate Director
-
- General Acute Care Hospital
- Baltimore, MD
- NPI 1487741427
Corporate Director
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.
-
- General Practice Physician
- Baltimore, MD
- NPI 1184046187
-
- Internal Medicine Physician
- Washington, DC
- NPI 1376887844
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Baltimore, MD
- NPI 1184712085
-
- Home Health Agency
- Baltimore, MD
- NPI 1790899524
-
- General Acute Care Hospital
- Baltimore, MD
- NPI 1811084718
-
- General Acute Care Hospital
- Baltimore, MD
- NPI 1487741427
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1570060800000",
"number": "1972585206",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5601 LOCH RAVEN BLVD BLDG SUITE101",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212392945",
"telephone_number": "443-444-1392",
"fax_number": "443-444-3988"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5601 LOCH RAVEN BLVD BLDG SUITE101",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212392945",
"telephone_number": "443-444-1392",
"fax_number": "443-444-3988"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "DAVID",
"middle_name": "ZACHARY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-14",
"last_updated": "2019-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "MD",
"license": "D0058474",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA ALL PLANS EXCEPT HMO",
"identifier": "7283425",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "405073800",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BRAVO",
"identifier": "1972585206",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P01084428",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "JOHN HOPKINS EHP PPMCO USFHP",
"identifier": "107110",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIGROUP",
"identifier": "01642018",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "1188979",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST BLUECROSS BLUESHIELD",
"identifier": "AB870001",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MARYLAND PHYSICIANS CARE",
"identifier": "1972585206",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE - ALL PRODUCTS EXCEPT AMERICHOICE",
"identifier": "1972585206",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO",
"identifier": "8508989",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.