Individual provider Active NPI

Luis Benigno Martinez III

  • Family Nurse Practitioner
  • Covington, LA
National Provider Identifier
1003538851
Registry record updated Dec 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
226932 Issued in LA
Practice address
1850 N Highway 190
Covington, LA 70433-5157
Phone
(985) 809-1515
NPI assigned
Sep 16, 2022
Last updated
Dec 15, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 15, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 226932 LA Primary
Family Nurse Practitioner 363LF0000X 280972 AZ

Addresses

Primary practice location

1850 N Highway 190
Covington, LA 70433-5157

Mailing address

1850 N Highway 190
Covington, LA 70433-5157
Phone (985) 607-4357

Other practice location 1

553 Waverly Dr
Slidell, LA 70461-4175
Phone (985) 607-4357

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230126000368 LA Practitioner - Nurse Practitioner 9436520608 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
In and Out Urgent Care Covington, LLCGroup PAC ID 0143574426, 15 clinicians
In and Out Urgent Care LLCGroup PAC ID 5991937054, 8 clinicians

Practice addresses (Care Compare)

3300 N Causeway Blvd
Metairie, LA 70002-3508
Phone (504) 370-5005

6225 S Claiborne Ave
New Orleans, LA 70125-4105
Phone (504) 864-8080

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
280972AZMDFamily Nurse Practitioner
226932LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
In and Out Urgent Care Covington, LLC CurrentSince Jun 15, 2023 Accepting new patients
In and Out Urgent Care of Metairie, LLC CurrentSince Jun 15, 2023 Accepting new patients
In and Out Urgent Care, LLC CurrentSince Jun 15, 2023 Accepting new patients

Locations

13130 Highway 1085
Covington, LA 70433
Phone (985) 261-0261

716 W 21st Ave
Covington, LA 70433

100 N Labarre Rd
Ste C
Metairie, LA 70001
Phone (504) 827-1717

3300 N Causeway Blvd
Metairie, LA 70002
Phone (504) 370-5005

6225 S Claiborne Ave
New Orleans, LA 70125
Phone (504) 864-8080

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1663286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671062400000",
    "number": "1003538851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 N HIGHWAY 190",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704335157",
            "telephone_number": "985-607-4357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 N HIGHWAY 190",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704335157",
            "telephone_number": "985-809-1515"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "553 Waverly Dr",
            "address_purpose": "LOCATION",
            "city": "Slidell",
            "state": "LA",
            "postal_code": "704614175",
            "country_code": "US",
            "telephone_number": "985-607-4357",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "LUIS",
        "middle_name": "BENIGNO",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-09-16",
        "last_updated": "2022-12-15",
        "certification_date": "2022-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "226932",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "280972",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, LA

Sources for this page

Verify at the official NPI Registry.