Individual provider Active NPI

James R Martin, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Warren, MI
National Provider Identifier
1972592541
Registry record updated Feb 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
063638 Issued in MI
Practice address
11900 E 12 Mile Rd
Suite 205
Warren, MI 48093-3400
Phone
(586) 576-4907
Fax
(576) 576-4906
NPI assigned
Oct 17, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 063638 MI Primary

Addresses

Primary practice location

11900 E 12 Mile Rd
Suite 205
Warren, MI 48093-3400

Mailing address

11900 E 12 Mile Rd
Suite 205
Warren, MI 48093-3400
Phone (586) 576-4907

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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 1

Enrollment IDStateProvider typePAC IDDetails
I20050503000358 MI Practitioner - Thoracic SurgeryPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Cardiac Surgery 5496794018 Reassigns benefits to 11 organizations

Care Compare profile

Medicare Care Compare
Specialty
Thoracic Surgery
Education
University of Vermont College of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McLaren Port HuronGroup PAC ID 9931018702, 48 clinicians
McLaren Northern MichiganGroup PAC ID 9931018181, 60 clinicians

Practice addresses (Care Compare)

1117 Stone St
Suite 1
Port Huron, MI 48060-3525
Phone (810) 488-8480

1163 S Carney Dr
Saint Clair, MI 48079-5569
Phone (810) 561-8450

1221 Pine Grove Ave
Port Huron, MI 48060-3511
Phone (810) 985-2663

22201 Moross Rd
Suite 356
Detroit, MI 48236-2176
Phone (313) 343-7444

416 Connable Ave
Petoskey, MI 49770-2212
Phone (231) 487-4000

Hospital & facility affiliations

  • McLaren Port Huron Hospital, Port Huron, MI, CCN 230216
  • McLaren Northern Michigan Hospital, Petoskey, MI, CCN 230105
  • Henry Ford Health St John Hospital Hospital, Detroit, MI, CCN 230165

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary artery bypass graft (CABG)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
063638MIMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
McLaren Central Michigan Current Accepting new patients
McLaren Lapeer Region CurrentSince Jul 1, 2021 Accepting new patients
McLaren Greater Lansing Current Accepting new patients
McLaren Bay Region CurrentSince Sep 10, 2023 Accepting new patients
Henry Ford Health St. John Hospital Current Accepting new patients
McLaren Greater Lansing CurrentSince Jun 23, 2018 Accepting new patients
McLaren Central Michigan CurrentSince Apr 1, 2025 Accepting new patients
Henry Ford Health St. John Hospital CurrentSince Jul 16, 2024 Accepting new patients
McLaren Lapeer Region CurrentSince Jul 1, 2021 Accepting new patients
McLaren Central Michigan CurrentSince Apr 1, 2025 Accepting new patients
Henry Ford Semi Medical Group CurrentSince Dec 1, 2010 Accepting new patients
McLaren Port Huron CurrentSince Feb 1, 2016 Accepting new patients
McLaren Northern Michigan CurrentSince Jan 13, 2025 Accepting new patients
McLaren Northern Michigan CurrentSince Jan 13, 2025 Accepting new patients
Henry Ford Semi Medical Group Current Accepting new patients
Henry Ford Semi Medical Group CurrentSince Dec 1, 2010 Accepting new patients
McLaren Macomb CurrentSince Feb 17, 2026 Accepting new patients
McLaren Port Huron Current Accepting new patients
Henry Ford Health St. John Hospital CurrentSince Jul 16, 2024 Accepting new patients
McLaren Bay Region Vascular Surgery CurrentSince Sep 10, 2023 Accepting new patients
Center for Cardiovascular & Thoracic Surgery PC Thoracic Surgery (Cardiothoracic Vascular Surgery) CurrentSince Mar 4, 2022 Accepting new patients
McLaren Lapeer Region Current Accepting new patients
McLaren Greater Lansing Thoracic Surgery (Cardiothoracic Vascular Surgery) CurrentSince Jun 23, 2018 Accepting new patients
St Clair Cardiovascular Surgeons PLC Past Accepting new patients
St. Clair Cardiovascular Surgeons, PLC Thoracic Surgery (Cardiothoracic Vascular Surgery) Past Accepting new patients

Locations

1900 Columbus Ave
Bay City, MI 48708
Phone (989) 894-3000

22101 Moross Rd
Detroit, MI 48236
Phone (313) 343-3248

4100 S River Rd
East China, MI 48054
Phone (810) 329-6677

401 S Ballenger Hwy
Flint, MI 48532
Phone (810) 342-1000

22201 Moross Rd
Ste 356
Grosse Pointe, MI 48236
Phone (313) 343-7444

405 W Greenlawn Ave
Ste 305
Lansing, MI 48910
Phone (517) 483-4780

1254 N Main St
Lapeer, MI 48446
Phone (810) 664-4531

1200 Barry Dr
Lapeer, MI 48446
Phone (810) 664-4532

1375 N Main St
Lapeer, MI 48446
Phone (810) 667-5500

809 W Dryden Rd
Metamora, MI 48455
Phone (810) 678-4000

1221 South Dr
Mt Pleasant, MI 48858
Phone (989) 772-6700

2940 Health Pkwy
Mt Pleasant, MI 48858
Phone (989) 466-2877

416 Connable Ave
Petoskey, MI 49770
Phone (231) 487-4000

560 W Mitchell St
Ste 560
Petoskey, MI 49770
Phone (231) 487-2150

2390 Mitchell Park Dr
Ste D
Petoskey, MI 49770
Phone (231) 242-1760

560 W Mitchell St
Ste 400
Petoskey, MI 49770
Phone (231) 330-3585

1221 Pine Grove Ave
Port Huron, MI 48060
Phone (810) 989-3300

1117 Stone St
Ste 1
Port Huron, MI 48060
Phone (810) 488-8480

1201 Stone St
Ste 6
Port Huron, MI 48060
Phone (810) 985-6227

1163 S Carney Dr
Saint Clair, MI 48079
Phone (810) 561-8450

37771 Schoenherr Rd
Ste 104
Sterling Hts, MI 48312
Phone (810) 286-0050

30117 Schoenherr Rd
Ste 400
Warren, MI 48088
Phone (586) 552-4848

11900 E 12 Mile Rd
Ste 205
Warren, MI 48093
Phone (586) 576-4907

Interoperability endpoints

  • Direct secure messaging: james.martin.1@28645.direct.athenahealth.com

Organizations & group practices 26

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.

View all 26

Hospital & facility affiliations 4

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": "1129507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487808000000",
    "number": "1972592541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11900 E 12 MILE RD",
            "address_2": "SUITE 205",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480933400",
            "telephone_number": "586-576-4907",
            "fax_number": "576-576-4906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11900 E 12 MILE RD",
            "address_2": "SUITE 205",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480933400",
            "telephone_number": "586-576-4907",
            "fax_number": "576-576-4906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "JAMES",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-17",
        "last_updated": "2017-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "MI",
            "license": "063638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, MI

Sources for this page

Verify at the official NPI Registry.