MARTHA ELLEN GENIG – Internal Medicine Physician, NPI 1902009822

MARTHA ELLEN GENIG is a healthcare provider. based in Allen park, Michigan. specializing in Internal Medicine Physician. They hold a License No. 4704111736 (MI). The NPI Number for MARTHA ELLEN GENIG is 1902009822

Main info

Female
Sole Proprietor
51 Years Of Experience
Accepts Medicare Assignment
Name
MARTHA ELLEN GENIG
NPI
1902009822
Phone
(313) 388-0033
Address
7804 ALLEN RD
Enumeration Date
7 June 2007
Last Update Date
14 April 2008

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3133880033
Graduation Year
1975 (51 years ago)
PAC ID
0648431189
Group Practice PAC ID
3971675125
Professional Enrollment ID
I20120411000036
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for MARTHA ELLEN GENIG

  • 7804, Allen Road, Allen Park, Wayne County, Michigan, 48101, United States

    ALLEN PARK, MI 481011702

    Phone: (313) 388-0033

    Fax: (313) 388-1188

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 75 Open Payments records for all available years, with a total value of $1,591.

Total Amount is formed as General ($1,591) + Research ($0) + Ownership ($0) = $1,591.

Last reported payment date: 2024-12-04 • Largest payer in this snapshot: Lilly USA, LLC ($295).

Total Amount

$1,591

General + Research + Ownership

Payments

75

Total payment records

General Amount

$1,591

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-04

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2012-04-11

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
I20120411000036INurse PractitionerMITBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48101)

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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: 3971675125View full group profile
NameSpecialtyState
-MI

Reviews

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Frequently asked questions

Where can patients find MARTHA ELLEN GENIG's NPI?
You can confirm MARTHA ELLEN GENIG with NPI 1902009822; it appears in the national provider directory.
Is MARTHA ELLEN GENIG's NPI currently valid?
The extract we use shows MARTHA ELLEN GENIG as active.
Can you summarize MARTHA ELLEN GENIG's specialty in plain language?
Clinically, the directory lists MARTHA ELLEN GENIG with Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Does MARTHA ELLEN GENIG practice in Michigan?
You will see Allen Park, Michigan on file for MARTHA ELLEN GENIG alongside any extra practice locations.
How can I contact MARTHA ELLEN GENIG?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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