TAMARA S MARTIN (MD) – Diagnostic Radiology Physician, NPI 1376538405

TAMARA S MARTIN (MD) is a healthcare provider. based in Toledo, Ohio. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials MD. They hold a License No. 35-072556 (OH). The NPI Number for TAMARA S MARTIN (MD) is 1376538405

Main info

Female
34 Years Of Experience
Accepts Medicare Assignment
Name
TAMARA S MARTIN (MD)
NPI
1376538405
Phone
(419) 474-4064
Address
5757 PARK CENTER CT.
Enumeration Date
14 September 2005
Last Update Date
12 August 2020

Doctor Profile

Medical School Name
WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
5172795400
Graduation Year
1992 (34 years ago)
PAC ID
1951356179
Group Practice PAC ID
2567367519
Professional Enrollment ID
I20190812002094
Address ID
MI490362041CO274XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,804 DIAGNOSTIC RADIOLOGY in OH

Provider Addresses for TAMARA S MARTIN (MD)

  • 5757 PARK CENTER CT.

    TOLEDO, OH 43615

    Phone: (419) 474-4064

    Fax: (419) 472-2772

    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 1 Open Payments records for all available years, with a total value of $24.

Total Amount is formed as General ($24) + Research ($0) + Ownership ($0) = $24.

Last reported payment date: 2024-09-24 • Largest payer in this snapshot: Hologic Sales and Service, LLC ($24).

Total Amount

$24

General + Research + Ownership

Payments

1

Total payment records

General Amount

$24

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-24

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2019-08-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20050322000315IDiagnostic RadiologyOHTBD
I20190812002094IDiagnostic RadiologyMITBD

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
A9585Injection, gadobutrol, 0.1 ml10,375113$0
77067Screening mammography936936$0
77063Screening 3d breast mammography932932$0
G0279Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066)136131$0
77065Diagnostic mammography of 1 breast123106$0
View full utilization report →

Insurance plans in this area (ZIP 43615)

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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: 2567367519View full group profile
NameSpecialtyState
-OH
Diagnostic RadiologyOH
Diagnostic Radiology, Interventional RadiologyOH
Interventional Radiology, Diagnostic RadiologyOH
Diagnostic RadiologyOH
Diagnostic RadiologyOH
Diagnostic RadiologyOH
Diagnostic RadiologyOH
Diagnostic RadiologyOH
Diagnostic RadiologyOH

Reviews

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Frequently asked questions

What is the registry number for TAMARA S MARTIN (MD)?
The registry entry for TAMARA S MARTIN (MD) shows NPI 1376538405.
Does the public listing show TAMARA S MARTIN (MD) as active?
TAMARA S MARTIN (MD)'s NPI record reflects an active status in NPPES.
How should patients interpret TAMARA S MARTIN (MD)'s specialty?
The extract shows Diagnostic Radiology Physician for TAMARA S MARTIN (MD). Clinical services aligned with this taxonomy classification.
What city is tied to TAMARA S MARTIN (MD)?
The directory associates TAMARA S MARTIN (MD) with Toledo, Ohio. Check all listed addresses for suites or satellite offices.
Why is information missing for TAMARA S MARTIN (MD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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