MARIA RAVKATOVNA MARTIN
NPI 1417670449
Nurse Practitioner - Acute Care in St Louis, MO
About Maria Ravkatovna Martin NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARIA RAVKATOVNA MARTIN (NPI 1417670449) is an individual acute care provider in St Louis, Missouri, licensed in Georgia (RN252454) and active in the NPI registry since September 2022. She is enrolled in Medicare PECOS, is affiliated with Ssm Health Saint Louis University Hospital, and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Maria Ravkatovna Martin is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Maria Martin reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Saint Louis, MO 63104
- Reassigned Medicare billing, Missouri enrollment
- 1,294 clinicians in this Medicare group
Saint Louis, MO 63110
- Reassigned Medicare billing, Missouri enrollment
- 194 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Ssm Health Saint Louis University Hospital
Acute Care Hospitals · Saint Louis, MOPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 63104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Maria Martin's NPI number?
The NPI number for Maria Martin is 1417670449. It was assigned to this individual provider in the NPPES registry on September 23, 2022. The provider is also known as Maria Ravkatovna Sultanshina.
Where is Maria Martin located?
Maria Martin practices at 1201 Grant Blvd, St Louis, MO 63104. The listed phone number is (314) 257-8000.
What is Maria Martin's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
Is Maria Martin enrolled in Medicare?
Yes. Maria Martin is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Maria Martin's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Maria Martin reassigns Medicare benefits to 2 organizations: Ssm Health Care Group (Saint Louis, MO) and Slh Physicians LLC (Saint Louis, MO). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Maria Martin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Maria Martin accept?
Health plans from Anthem Blue Cross and Blue Shield and Oscar Insurance Company list Maria Martin as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Maria Martin affiliated with any hospitals?
According to CMS data, Maria Martin is affiliated with Ssm Health Saint Louis University Hospital.
When was this NPI record last updated?
The NPPES record for Maria Martin was last updated on September 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.
# Maria Ravkatovna Martin · NPI 1417670449
Acute Care physician in St Louis, Missouri. Individual provider, active in the CMS NPPES registry since September 23, 2022.
## Identity
- **NPI:** 1417670449 (Entity type: Individual)
- **Enumerated:** September 23, 2022
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** RN252454 (Georgia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1201 GRANT BLVD, St Louis, MO 63104
- **Phone:** (314) 257-8000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Ssm Health Care Group (NPI 1306589544, Saint Louis, MO); Slh Physicians LLC (NPI 1881668051, Saint Louis, MO) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** September 23, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1417670449) · Data from the CMS NPPES public registry.