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

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 2

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

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 (6 clinicians)

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 Hospital · Norfolk, VA · CCN 490046
  • Sentara Virginia Beach General Hospital Hospital · Virginia Beach, VA · CCN 490057

Merit-based Incentive Payment System (MIPS)

Final score
97.87 of 100 (group)
Quality
95.04
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue242

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 IDStateProvider typePAC IDDetails
I20080513000509 VA Practitioner - Emergency Medicine 9234032632 Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Hyperbaric Physician Services LLC Undersea and Hyperbaric Medicine Current
since Jan 1, 2000
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
005846943MedicaidVA

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 8, 2010.

{
    "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

All providers in Norfolk, VA · Emergency Medicine Physician in Virginia

Sources for this page

Verify at the official NPI Registry.