AMANDA MARIE MARTIN (M.D.) – Psychiatry Physician, NPI 1790280659

AMANDA MARIE MARTIN (M.D.) is a healthcare provider. based in Detroit, Michigan. specializing in PSYCHIATRY. They hold the professional credentials M.D.. They hold a License No. MD61251243 (WA). The NPI Number for AMANDA MARIE MARTIN (M.D.) is 1790280659

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
AMANDA MARIE MARTIN (M.D.)
NPI
1790280659
Phone
(313) 874-6611
Address
2799 W GRAND BLVD OFC
Enumeration Date
24 March 2018
Last Update Date
26 May 2022

Doctor Profile

Medical School Name
WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
5096622208
Graduation Year
2018 (8 years ago)
PAC ID
0749536407
Group Practice PAC ID
4880504596
Professional Enrollment ID
I20220620001643
Address ID
WA988013201WE1201XSTXX400

Contacts

FHIR Endpoint
https://epicproxy.et0764.epichosted.com/FHIRProxy/api/FHIR/R4/
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness85
Years active:8State licenses:1Other namesUpdated within 12 months

1,213 PSYCHIATRY in MI

Provider Addresses for AMANDA MARIE MARTIN (M.D.)

  • 2799 W GRAND BLVD OFC

    DETROIT, MI 482022608

    Phone: (313) 874-6611

    Type: Location

  • Henry Ford Hospital, 2799, West Grand Boulevard, New Center, Detroit, Wayne County, Michigan, 48202, United States

    DETROIT, MI 482022608

    Phone:

    Type: Mailing

  • 820 N CHELAN AVE

    WENATCHEE, WA 988012028

    Phone: (509) 663-8711

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-06-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220620001643IPsychiatryWATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
G0316Prolonged hospital inpatient or observation care evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by th29364$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes10545$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes8071$0
View full utilization report →

Insurance plans in this area (ZIP 48202)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4880504596View full group profile
NameSpecialtyState
Cardiovascular Disease (Cardiology), Internal MedicineWA
Internal MedicineOR
-WA
Internal MedicineWA
O B S T E T R I C S/ G Y N E C O L O G YMT
-WA
Emergency MedicineWA
O B S T E T R I C S/ G Y N E C O L O G YWA
Diagnostic RadiologyOH
Physician AssistantWA

Reviews

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Frequently asked questions

What is AMANDA MARIE MARTIN (M.D.)'s NPI number?
AMANDA MARIE MARTIN (M.D.)'s NPI is 1790280659 — the number used across U.S. healthcare to identify this provider.
Active or inactive — what applies to AMANDA MARIE MARTIN (M.D.)?
You should see AMANDA MARIE MARTIN (M.D.) as active in CMS-hosted NPPES data.
What area of care is associated with AMANDA MARIE MARTIN (M.D.)?
AMANDA MARIE MARTIN (M.D.)'s record emphasizes Psychiatry Physician. Clinical services aligned with this taxonomy classification.
Is AMANDA MARIE MARTIN (M.D.) associated with Detroit?
Public fields place AMANDA MARIE MARTIN (M.D.) around Detroit, Michigan. Always confirm the exact site before visiting.
Does AMANDA MARIE MARTIN (M.D.) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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