ADAM JAMES MARTIN – Surgical Physician Assistant, NPI 1932943164

ADAM JAMES MARTIN is a healthcare provider. based in Dayton, Ohio. specializing in PHYSICIAN ASSISTANT. They hold a License No. 50.009178RX (OH). The NPI Number for ADAM JAMES MARTIN is 1932943164

Main info

Male
2 Years Of Experience
Accepts Medicare Assignment
Name
ADAM JAMES MARTIN
NPI
1932943164
Phone
(304) 610-8633
Address
969 WILMINGTON AVE APT C
Enumeration Date
21 June 2024
Last Update Date
27 February 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9372987751
Graduation Year
2024 (2 years ago)
PAC ID
0042747123
Group Practice PAC ID
3173710936
Professional Enrollment ID
I20241231003132
Address ID
OH454292405KE4441XAVEX400

Contacts

FHIR Endpoint
https:/khnarr.ketthealth.com/FHIR-PROD/api/FHIR/R4/
Secure Messaging
amartin890447@direct.ketteringhealth.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness85
Years active:1State licenses:1Other namesUpdated within 12 months

5,032 PHYSICIAN ASSISTANT in OH

Provider Addresses for ADAM JAMES MARTIN

  • 969 WILMINGTON AVE APT C

    DAYTON, OH 454201655

    Phone: (304) 610-8633

    Type: Mailing

  • 3533 SOUTHERN BLVD STE 2100

    KETTERING, OH 454291267

    Phone: (937) 395-8556

    Fax: (937) 395-6376

    Type: Location

  • 272 Hospital Rd

    Chillicothe, OH 456019031

    Phone: (304) 610-8633

    Type: Location

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: 2024-12-31

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
I20241231003132IPhysician AssistantOHTBD

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 45420)

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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: 3173710936View full group profile
NameSpecialtyState
Geriatric Medicine, Hematology/OncologyIL
Nurse PractitionerOH
Hematology/Oncology, Internal MedicineOH
Radiation OncologyOH
Nurse PractitionerOH
O B S T E T R I C S/ G Y N E C O L O G YOH
Orthopedic SurgeryOH
Pulmonary Disease, Critical Care (Intensivists), Sleep MedicineOH
Physician AssistantOH
Hospitalist, Emergency MedicineOH

Reviews

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Frequently asked questions

Can I cross-check ADAM JAMES MARTIN using NPI 1932943164?
NPI 1932943164 belongs to ADAM JAMES MARTIN; compare other details if you need extra assurance.
Is there an active status for ADAM JAMES MARTIN?
For scheduling context, ADAM JAMES MARTIN is shown as active in the registry.
What area of care is associated with ADAM JAMES MARTIN?
ADAM JAMES MARTIN's record emphasizes Surgical Physician Assistant. Clinical services aligned with this taxonomy classification.
Is ADAM JAMES MARTIN located near Dayton?
ADAM JAMES MARTIN currently maps to Dayton, Ohio in this extract.
Can I trust this NPI listing for ADAM JAMES MARTIN?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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