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DR. GARY MARSHALL MART M.D.
NPI 1386713196
Psychiatry & Neurology - Child & Adolescent Psychiatry in River Forest, IL

Active since November 07, 2006Opted out of Medicare · through Feb 24, 2027
1046 MONROE AVE, RIVER FOREST, IL 60305(312) 509-3910(312) 277-6565 Get Directions Write a Review

NPPES record last updated: June 25, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Gary Marshall Mart M.d. NPPES

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

DR. GARY MARSHALL MART M.D. (NPI 1386713196) is an individual child & adolescent psychiatry provider in River Forest, Illinois, licensed in Illinois (036101590) and active in the NPI registry since November 2006. He has opted out of Medicare through February 24, 2027 and remains eligible to order and refer and maintains a secondary practice location in Chicago.

NPPES Registry Identity

NPI1386713196
Entity TypeIndividualMale
Primary Taxonomy2084P0804X
Provider Legal NameDR. GARY MARSHALL MARTCredential: M.D.
Location Address1046 MONROE AVERiver Forest, IL 60305-1426
Mailing Address7061 North Ave # 506Oak Park, IL 60302-1015 · (312) 509-3910 · Fax (844) 562-0636
Phone(312) 509-3910
Fax(312) 277-6565
Sole ProprietorYes
Enumeration DateNovember 7, 2006
Last NPPES UpdateJune 25, 2025
NPPES CertifiedJune 25, 2025
✔ NPI 1386713196 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License✔ Licensed in IL · 036101590
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
1046 MONROE AVE, River Forest, IL 60305
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Secondary Practice Location 1

Location 1333 N Michigan Ave Ste 1125Chicago, IL 60601-4001 · Phone (312) 509-3910 · Fax (844) 562-0636

Other Identifiers 2

Medicaid036101590IL
Other01632730IL · Blue Cross Blue Shield

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

Dr. Gary Marshall Mart M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 24, 2017 through February 24, 2027.

Opt-Out Effective DateFebruary 24, 2017
Opt-Out In Effect ThroughFebruary 24, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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 Gary Mart's NPI number?

The NPI number for Gary Mart is 1386713196. It was assigned to this individual provider in the NPPES registry on November 7, 2006.

Where is Gary Mart located?

Gary Mart practices at 1046 Monroe Ave, River Forest, IL 60305. The listed phone number is (312) 509-3910.

What is Gary Mart's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Gary Mart enrolled in Medicare?

No. Gary Mart has opted out of Medicare through February 24, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Gary Mart was last updated on June 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.