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Deactivated NPI 1033300504 Deactivated / Inactive NPI Male Practitioner

Dr. Michael Martin , MD

Internal Medicine • Chicago, IL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Michael Martin has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 08, 2007
NPI Deactivation Date December 19, 2024
Total Practice Duration ~17 Years of Practice (2007 – 2024)

Professional Overview & Biography Verified Profile Summary

Dr. Michael Martin, MD was a registered Internal Medicine practicing in Chicago, IL. Throughout an active medical career spanning 17 years, Dr. Martin provided care at the practice location at 3319 N ELSTON AVE until profile deactivation on 2024-12-19.

Historical Medicare Part B clinical services included physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow, residence visit for established patient with high level of medical decision making, per day, if using time, at least, residence visit for established patient with moderate level of medical decision making, per day, if using time, at least. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

3319 N Elston Ave

Chicago, IL 60618

Telephone 7737517200
Fax 7735834295
Associated Practice Facility / Clinic
🏢 Lake Mi Mobile Doctors, P.c. Facility NPI 1437106465

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Chicago, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 21.8 Yrs
State Avg: 28.9 Yrs
Regional Practice Density
2969 Specialists

Practicing in Chicago, IL (7544 Statewide)

Telehealth Adoption Rate
12.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
10.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2017)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
G0181 Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow
877 172 $120.00 $114.18
99350 Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes
328 154 $220.00 $189.02
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes
301 143 $171.00 $136.27
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp
217 121 $57.00 $43.43
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and
117 98 $74.00 $56.72
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function
39 38 $187.18 $168.01
99345 Residence visit for new patient with high level of medical decision making, per day, if using time, at least 75 minutes
16 16 $250.00 $235.51
93970 Ultrasound study of arm or leg veins with compression and maneuvers
14 14 $190.00 $168.79
93925 Ultrasound of leg arteries or artery grafts
13 13 $230.23 $226.44

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License IL 036057445

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

13 Associated Practitioners
Dr. James Fenoglio , MD

Internal Medicine - Geriatric Medicine

NPI 1063690469

Doctor of Medicine (M.D.)

Dr. Brian Bacardi , DPM

Podiatrist - Primary Podiatric Medicine

NPI 1073674081

Doctor of Podiatric Medicine

Dr. Ewa Nowak , MD

Internal Medicine - Geriatric Medicine

NPI 1114113271

Doctor of Medicine (M.D.)

NPI 1184900029

Doctor of Podiatric Medicine

NPI 1225045651

Doctor of Podiatric Medicine

Dr. Kamran Hashemi , MD

Internal Medicine

NPI 1285628495

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated December 19, 2024

Record deactivated on December 19, 2024

NPI Profile Active October 29, 2015

NPI status registered as active in NPPES database

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Updated Practice Location October 29, 2015

Registered at 3319 N ELSTON AVE, CHICAGO, IL 60618 (Tel: 7737517200)

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Updated Business Mailing Address October 29, 2015

Registered at 7301N LINCOLN AVE 183, LINCOLNWOOD, IL 607121736 (Tel: 2247667669)

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Provider Name / Credentials Updated October 29, 2015

Recorded as MICHAEL MARTIN, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 29, 2015

Internal Medicine (License #036057445 in IL)

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Initial NPI Registration & Enumeration August 08, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1033300504
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 08, 2007
Last Update: October 29, 2015
Deactivation Date: December 19, 2024

Mailing Address

7301n Lincoln Ave 183

Lincolnwood, IL 607121736

Phone: 2247667669

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.