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RYAN IMANI MARTIN MD
NPI 1093518755
Student in an Organized Health Care Education/Training Program in Norfolk, VA

Active since March 28, 2025PECOS Enrolled
825 FAIRFAX AVE, NORFOLK, VA 23507(757) 446-5955 Get Directions Write a Review

NPPES record last updated: May 12, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 12, 2025, Mar 28, 2025 (2 updates tracked since 2025).

About Ryan Imani Martin Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RYAN IMANI MARTIN MD (NPI 1093518755) is an individual student in an organized health care education/training program in Norfolk, Virginia and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093518755
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameRYAN IMANI MARTINCredential: MD
Location Address825 FAIRFAX AVENorfolk, VA 23507-1914
Mailing AddressPo Box 1980Norfolk, VA 23501-1980
Phone(757) 446-5955
Sole ProprietorNo
Enumeration DateMarch 28, 2025
Last NPPES UpdateMay 12, 20252 updates tracked since enumeration
NPPES CertifiedMay 12, 2025
✔ NPI 1093518755 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
825 FAIRFAX AVE, Norfolk, VA 23507
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ryan Imani Martin Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRUNA PATEL MD
Internal Medicine (Nephrology)
825 FAIRFAX AVE
NORFOLK, VA 23507
Norfolk City (757) 446-7934
XIPI AMIN
Student in an Organized Health Care Education/Training Program
825 FAIRFAX AVE
NORFOLK, VA 23507
Norfolk City (757) 446-5600
MARY GRACE LIBERATORE YOUNG
Student in an Organized Health Care Education/Training Program
825 FAIRFAX AVE
NORFOLK, VA 23507
Norfolk City (757) 466-5600
DR. RICHARD M. WHALEN MD
Family Medicine
825 FAIRFAX AVE, SUITE 118
NORFOLK, VA 23507
Norfolk City (757) 446-5955
DR. JESSICA D SNOOK FNP
Nurse Practitioner (Family)
825 FAIRFAX AVE, 118
NORFOLK, VA 23507
Norfolk City (757) 446-5955
DR. JOSHUA KEITH ROGERS DO
Student in an Organized Health Care Education/Training Program
825 FAIRFAX AVE
NORFOLK, VA 23507
Norfolk City (757) 446-5955
NICOLE GUNAWANSA MD
Student in an Organized Health Care Education/Training Program
825 FAIRFAX AVE
NORFOLK, VA 23507
Norfolk City (757) 446-5955
BINTA MUSTAPHA
Student in an Organized Health Care Education/Training Program
825 FAIRFAX AVE
NORFOLK, VA 23507
Norfolk City (757) 446-5600

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ryan Martin's NPI number?

The NPI number for Ryan Martin is 1093518755. It was assigned to this individual provider in the NPPES registry on March 28, 2025.

Where is Ryan Martin located?

Ryan Martin practices at 825 Fairfax Ave, Norfolk, VA 23507. The listed phone number is (757) 446-5955.

What is Ryan Martin's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Ryan Martin enrolled in Medicare?

Yes. Ryan Martin is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ryan Martin was last updated on May 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.