MARY ELLEN MARTIN MD
NPI 1922096031
Internal Medicine - Hematology & Oncology in Philadelphia, PA
About Mary Ellen Martin Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARY ELLEN MARTIN MD (NPI 1922096031) is an individual hematology & oncology provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD068066L) and active in the NPI registry since October 2005. She is enrolled in Medicare PECOS, is affiliated with Hospital Of Univ Of Pennsylvania, and is a graduate of State University Of New York Downstate Medical Center (1996).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
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
Mary Ellen Martin Md 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 Reassignment
Medicare enrollment records show Mary Ellen Martin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Philadelphia, PA 19104
- Reassigned Medicare billing, Pennsylvania enrollment
- 373 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 3
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.
Hospital Of Univ Of Pennsylvania
Acute Care Hospitals · Philadelphia, PAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 19104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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 Mary Ellen Martin's NPI number?
The NPI number for Mary Ellen Martin is 1922096031. It was assigned to this individual provider in the NPPES registry on October 12, 2005.
Where is Mary Ellen Martin located?
Mary Ellen Martin practices at 3400 Civic Center Blvd, South Pavilion, 12th Floor Perelman Center For Advanced Medicine, Philadelphia, PA 19104. The listed phone number is (215) 360-0713.
What is Mary Ellen Martin's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.
Is Mary Ellen Martin enrolled in Medicare?
Yes. Mary Ellen 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 organization bills Medicare for Mary Ellen Martin's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mary Ellen Martin reassigns Medicare benefits to University Of Penn-Medical Group (Philadelphia, PA). The 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 Mary Ellen Martin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Mary Ellen Martin affiliated with any hospitals?
According to CMS data, Mary Ellen Martin is affiliated with Hospital Of Univ Of Pennsylvania.
When was this NPI record last updated?
The NPPES record for Mary Ellen Martin was last updated on November 3, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Mary Ellen Martin, MD · NPI 1922096031
Hematology & Oncology physician in Philadelphia, Pennsylvania. Individual provider, active in the CMS NPPES registry since October 12, 2005.
## Identity
- **NPI:** 1922096031 (Entity type: Individual)
- **Enumerated:** October 12, 2005
- **Primary specialty:** Internal Medicine - Hematology & Oncology · taxonomy 207RH0003X
- **State license:** MD068066L (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 3400 CIVIC CENTER BLVD, SOUTH PAVILION, 12TH FLOOR, PERELMAN CENTER FOR ADVANCED MEDICINE, Philadelphia, PA 19104
- **Phone:** (215) 360-0713 · **Fax:** (215) 214-3779
## 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:** University Of Penn-Medical Group (NPI 1679677975, Philadelphia, PA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** State University Of New York Downstate Medical Center, class of 1996
## Record status
- **NPPES last updated:** November 3, 2016
- **Other identifiers:** Medicare UPIN G95154; Medicaid 00189880400001 (PA); Medicare ID-Type Unspecified 064315
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Source: [NPI Profile](https://npiprofile.com/npi/1922096031) · Data from the CMS NPPES public registry.