ANGELIQUE M MARTIN L.D.
NPI 1669570552
Dietitian, Registered in Oklahoma City, OK

NPI Status: Active since September 21, 2006

Contact Information

4140 W MEMORIAL RD STE 321
OKLAHOMA CITY, OK
ZIP 73120
Phone: (405) 748-4726
Fax: (405) 607-8497

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  • Individual
  • Female
  • Years of Experience 29
  • Dietitian, Registered
  • Accepts Insurance
  • Accepts Medicare Approved Payment

About ANGELIQUE MARTIN

This page provides the complete NPI Profile along with additional information for Angelique Martin, a provider established in Oklahoma City, Oklahoma with a medical specialization in Dietitian, Registered and more than 29 years of experience. The healthcare provider is registered in the NPI registry with number 1669570552 assigned on September 2006. The practitioner's primary taxonomy code is 133V00000X with license number 970 (OK). The provider is registered as an individual and her NPI record was last updated 6 years ago.

NPI
1669570552
Provider Name
ANGELIQUE M MARTIN L.D.
Other Name
ANGELIQUE NAGEL L.D.
Other Name Type
Other Name (5)
Gender
Female
Entity Type
Individual
Location Address
4140 W MEMORIAL RD STE 321 OKLAHOMA CITY, OK 73120
Location Phone
(405) 748-4726
Location Fax
(405) 607-8497
Mailing Address
4140 W MEMORIAL RD STE 321 OKLAHOMA CITY, OK 73120
Mailing Phone
(405) 748-4726
Mailing Fax
(405) 607-8497
Medical School Name
OTHER
Graduation Year
1997
Is Sole Proprietor?
No
Enumeration Date
09-21-2006
Last Update Date
01-10-2020
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Location Map

Secondary Locations

  • 3435 NW 56th St Ste 303
    Oklahoma City, OK 73112
    (405) 606-2850
  • 5414 W Pinnacle Pointe Dr Ste 300
    Rogers, AR 72758
    (479) 268-4979
  • 2000 S Wheeling Ave Ste 920
    Tulsa, OK 74104
    (918) 947-5980
  • 3501 24th Ave NW Ste 101
    Norman, OK 73069
    (405) 801-2542

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dietitian, Registered

Taxonomy Code
133V00000X
Type
Dietary & Nutritional Service Providers
License No.
970
License State
OK
Taxonomy Description
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1133V00000XDietary & Nutritional Service Providers

Dietitian, Registered

1796 (AR)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Bronze Exp Standardized - PPO
  • Bronze Value - PPO
  • Gold Standardized - PPO
  • Silver AH - PPO
  • Silver Standardized - PPO
  • Silver Value - PPO
  • Dental Gold - PPO
  • Dental Gold Plus Vision - PPO
  • Dental Pediatric - PPO
  • Dental Platinum - PPO
  • Blue Advantage Bronze PPO? 202 - PPO
  • Blue Advantage Bronze PPO? 203 - PPO
  • Blue Advantage Bronze PPO? Standard - PPO
  • Blue Advantage Gold PPO? 309 - PPO
  • Blue Advantage Gold PPO? 604 - PPO
  • Blue Advantage Gold PPO? Standard - PPO
  • Blue Advantage Silver PPO? 204 - PPO
  • Blue Advantage Silver PPO? 501 - PPO
  • Blue Advantage Silver PPO? Standard - PPO
  • Blue Preferred Bronze PPO? Standard - PPO
  • HA Bronze Exp Standardized - POS
  • HA Bronze Suitcase - POS
  • HA Gold Standardized - POS
  • HA Silver AH - POS
  • HA Silver Premier Suitcase - POS
  • HA Silver Standardized - POS
  • Balance by Medica Bronze $0 Copay PCP Visits - EPO
  • Balance by Medica Bronze $0 Copay PCP Visits - PPO
  • Balance by Medica Bronze Premier - EPO
  • Balance by Medica Bronze Premier - PPO
  • Balance by Medica Catastrophic - EPO
  • Balance by Medica Catastrophic - PPO
  • Balance by Medica Expanded Bronze Standard - EPO
  • Balance by Medica Expanded Bronze Standard - PPO
  • Balance by Medica Gold $0 Copay PCP Visits - EPO
  • Balance by Medica Gold $0 Copay PCP Visits - PPO
  • Octave Bronze Exp Standardized - POS
  • Octave Bronze Value - POS
  • Octave Gold Standardized - POS
  • Octave Silver AH - POS
  • Octave Silver Classic Suitcase - POS
  • Octave Silver Standardized - POS
  • TARO Direct Primary Care Bronze 4150 ($0 DPC + $0 PCP + $0 Mental Health) - HMO
  • TARO Direct Primary Care Gold $0 Ded ($0 DPC + $0 PCP + $0 Mental Health) - HMO
  • TARO Direct Primary Care Silver 1900 ($0 DPC + $0 PCP + $0 Mental Health) - HMO
  • TARO Standard Bronze (No Direct Primary Care, for DPC select DPC Bronze) - HMO
  • TARO Standard Gold (No Direct Primary Care, for DPC select DPC Gold) - HMO
  • TARO Standard Silver (No Direct Primary Care, for DPC select DPC Silver) - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
100166870AMEDICAID (05)OK 
970OTHER (01)OKLD LICENSE

Medicare Participation & PECOS Enrollment Status

Angelique Martin is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • PECOS PAC ID: 42103426

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20040209000127, I20180830003328

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

Physician Visit Costs



The typical physician office visit costs for Medicare beneficiaries in this area are: $0 for a new patient copayment and $23.56 for an established patient copayment.

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 73120 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is NA

  • Average New Patient Price $0
  • Minimum New Patient Price $53
  • Maximum New Patient Price $162.61
  • Average New Patient Copayment $0
  • Minimum New Patient Copayment $13.25
  • Maximum New Patient Copayment $40.65

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $94.27
  • Minimum Established Patient Price $16.68
  • Maximum Established Patient Price $132.4
  • Average Established Patient Copayment $23.56
  • Minimum Established Patient Copayment $4.17
  • Maximum Established Patient Copayment $33.1

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Reviews for ANGELIQUE M MARTIN L.D.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1669570552
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
261291070510
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 1 + 2 + 9 + 1 + 0 + 7 + 0 + 5 + 1 + 0 + 24 = 58
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 58 = 22

The NPI number 1669570552 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 13 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1891349817OSU CENTER FOR HEALTH SCIENCES
Organization
Clinic/Center4140 W MEMORIAL RD STE 321
OKLAHOMA CITY, OK 73120
(918) 561-8306
1093964017 JAE LINDSAY MARIE CHALONER MS, LGC
Individual
Genetic Counselor, MS4140 W MEMORIAL RD STE 321
OKLAHOMA CITY, OK 73120
(405) 748-4726
1497084289MRS. SARAH JUDKINS RD
Individual
Dietitian, Registered4140 W MEMORIAL RD STE 321
OKLAHOMA CITY, OK 73120
(405) 748-4726
1013278613 RONAN ALEXANDER BAKKER M.D.
Individual
Obstetrics & Gynecology (Maternal & Fetal Medicine)4140 W MEMORIAL RD STE 321
OKLAHOMA CITY, OK 73120
(405) 748-4726
1134758667 LACEY BECKER ARNP-CNP
Individual
Nurse Practitioner4140 W MEMORIAL RD STE 321
OKLAHOMA CITY, OK 73120
(405) 748-4726
1841552742 STEPHANIE KAY ATKINSON CDE, RD/LD, MS
Individual
Dietitian, Registered4140 W MEMORIAL RD STE 321
OKLAHOMA CITY, OK 73120
(405) 748-4726
1942854245OSU CENTER FOR HEALTH SCIENCES
Organization
Clinic/Center4140 W MEMORIAL RD STE 321
OKLAHOMA CITY, OK 73120
(918) 561-8306
1962835082 KATHERINE SMALL MS, LCGC
Individual
Genetic Counselor, MS4140 W MEMORIAL RD STE 321
OKLAHOMA CITY, OK 73120
(405) 748-4726
1750819793 COURTNEY M BISSON MD
Individual
Obstetrics & Gynecology (Maternal & Fetal Medicine)4140 W MEMORIAL RD STE 321
OKLAHOMA CITY, OK 73120
(405) 748-4726
1942217815THE PERINATAL CENTER, PLLC
Organization
Obstetrics & Gynecology (Maternal & Fetal Medicine)4140 W MEMORIAL RD STE 321
OKLAHOMA CITY, OK 73120
(405) 748-4726
1194257188DR. LAURA RHEA WHITEAKER GAINEY M.D., PH.D.
Individual
Obstetrics & Gynecology4140 W MEMORIAL RD STE 321
OKLAHOMA CITY, OK 73120
(405) 748-4726
1821423591OBSTETRICAL HOSPITALISTS & WOMEN'S SERVICES, LLC
Organization
Obstetrics & Gynecology4140 W MEMORIAL RD STE 321
OKLAHOMA CITY, OK 73120
(405) 748-4726
1811491137DR. MICHELLE LAURINE FIRLIT MD
Individual
Obstetrics & Gynecology (Maternal & Fetal Medicine)4140 W MEMORIAL RD STE 321
OKLAHOMA CITY, OK 73120
(405) 748-4726

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1669570552, enumerated in the NPI registry as an "individual" on September 21, 2006

The provider is located at 4140 W Memorial Rd Ste 321 Oklahoma City, Ok 73120 and the phone number is (405) 748-4726

The provider's speciality is Dietitian, Registered with taxonomy code 133V00000X

The provider has more than 29 years of experience.

The provider might be accepting Accepts: Arkansas Blue Cross and Blue Shield, Blue Cross. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Medicare beneficiaries should expect a typical cost of $0 with an average copayment of $0 for new patient appointments. Established patients should expect a typical charge of $94.27 and an average copayment of 23.56. Please review your insurance plan or contact the provider directly to determine your specific costs.

This NPI record was last updated on September 21, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.