Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Peter Ray Martin, MD

Individual provider Emergency Medicine Physician · NPI 1104357490

Dr. Peter Ray Martin, MD is an Emergency Medicine in South Bend, Indiana. Graduated from Indiana University School of Medicine in 2017, 9 years ago. Practices with Cep America LLC, a 985-clinician group and accepts Medicare assignment. Licensed in Louisiana.

Years since qualifying
9
Trained at
Indiana University School of Medicine
Licensed in
LA
In the registry since
2017
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

715 Park Ave
South Bend, IN 46616-1337
Phone: (574) 536-4151
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 323680 (LA)

Record details

NPI number1104357490
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 27, 2017
Last updated in NPPESJanuary 8, 2021
Certification dateJanuary 8, 2021
Mailing address715 Park Ave, South Bend, IN 46616-1337

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolINDIANA UNIVERSITY SCHOOL OF MEDICINE
Graduated 2017 (9 years in practice)
Group practice Cep America Llc — 985 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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