Stewart W Martin, MD
Individual provider Active NPI Emergency Medicine Physician · Norfolk, VA
NPI 1992773006 · NPPES record last updated Oct 8, 2010
Key facts
- NPI
- 1992773006
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- 0101047871 (VA)
- Practice address
- 830 Kempsville Rd
Norfolk, VA 23502-3920 - Phone
- (757) 466-2325
- Fax
- (757) 466-2347
- NPI assigned
- Mar 14, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Emergency Medicine
- Education
- Eastern Virginia Medical School, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Hyperbaric Physician Services, LLC
Practice addresses (Care Compare)
11803 Jefferson Ave
Suite 120
Newport News, VA 23606-2565
Phone (757) 594-1060
830 Kempsville Rd
Norfolk, VA 23502-3920
Phone (757) 261-4325
850 Kempsville Rd
Suite 100D
Norfolk, VA 23502-3920
Phone (757) 261-4335
Hospital & facility affiliations
- Sentara Leigh Hospital
- Sentara Virginia Beach General Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.87 of 100
- Quality
- 95.04
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 242 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080513000509 | VA | Practitioner - Emergency Medicine | 9234032632 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hyperbaric Physician Services LLC | Undersea and Hyperbaric Medicine | Current |
Accepting new patients |
| Hyperbaric Physician Services LLC | Undersea and Hyperbaric Medicine | Current | Accepting new patients |
| WCS Professional Services of Virginia, LLC | Emergency Medicine | Past | Accepting new patients |
| Riverside Physician Services, Inc. | Emergency Medicine | Past | Accepting new patients |
Locations
11803 Jefferson Ave
Ste 120
Newport News, VA 23606
Phone (757) 594-1060
11803 Jefferson Ave
#120
Newport News, VA 23606
Phone (757) 594-1060
830 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-6000
2800 Godwin Blvd
Suffolk, VA 23434
Phone (757) 363-6850
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 0101047871 | VA | Yes |
| Undersea and Hyperbaric Medicine (Emergency Medicine) Physician | 207PE0005X | 0101047871 | VA |
Addresses
Primary practice location
830 Kempsville Rd
Norfolk, VA 23502-3920
Mailing address
PO Box 7549
Portsmouth, VA 23707-0549
Phone (757) 686-3508
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 005846943 | Medicaid | VA |
NPI Registry JSON
{
"created_epoch": "1142294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1286496000000",
"number": "1992773006",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7549",
"city": "PORTSMOUTH",
"state": "VA",
"postal_code": "237070549",
"telephone_number": "757-686-3508",
"fax_number": "757-686-0541"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "830 KEMPSVILLE RD",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235023920",
"telephone_number": "757-466-2325",
"fax_number": "757-466-2347"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "STEWART",
"middle_name": "W",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-14",
"last_updated": "2010-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "VA",
"license": "0101047871",
"primary": true
},
{
"code": "207PE0005X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Undersea and Hyperbaric Medicine",
"state": "VA",
"license": "0101047871",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "005846943",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Norfolk, VA
- Michele Renee Martin
- Rebecca Breese Martin
- Ryan Imani Martin
- Sade Martin
- Sadee L Martin
- Andrea Martineau
- Yarelis Martinez Rodriguez
- Jessica Cynthia Martinez
- Joley Martinez
- Mary Allan F. Martinez
All providers in Norfolk, VA · Emergency Medicine Physician in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 8, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.