ADAM JAMES MARTIN
NPI 1932943164
Physician Assistant - Surgical in Kettering, OH

Q: What is Adam Martin's NPI number?

The NPI number for Adam Martin is 1932943164. It was assigned to this individual provider in the NPPES registry on June 21, 2024.

Q: What is Adam Martin's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for Adam Martin was last updated on February 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.

Active since June 21, 2024PECOS Enrolled

3533 SOUTHERN BLVD STE 2100, KETTERING, OH 45429(937) 395-8556(937) 395-6376 Get Directions Write a Review

NPPES record last updated: February 27, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 27, 2025, Dec 20, 2024, Jun 21, 2024 (3 updates tracked since 2024).

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About Adam James Martin NPPES

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

ADAM JAMES MARTIN (NPI 1932943164) is an individual surgical provider in Kettering, Ohio, licensed in Ohio (50.009178RX) and active in the NPI registry since June 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1932943164

Entity TypeIndividualMale

Primary Taxonomy363AS0400X

Provider Legal NameADAM JAMES MARTIN

Location Address3533 SOUTHERN BLVD STE 2100Kettering, OH 45429-1267

Mailing Address969 Wilmington Ave Apt CDayton, OH 45420-1655 · (304) 610-8633

Phone(937) 395-8556

Fax(937) 395-6376

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateJune 21, 2024

Last NPPES UpdateFebruary 27, 20253 updates tracked since enumeration

NPPES CertifiedFebruary 27, 2025

✔ NPI 1932943164 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in OH · 50.009178RX

3533 SOUTHERN BLVD STE 2100, Kettering, OH 45429

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Adam James Martin is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID42747123

PECOS Enrollment IDI20260420000050

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 15

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

ISABEL KATHLEEN STOFFEL PA-C

Physician Assistant