Individual provider Active NPI

Cecilia I Martinez, M.D.

  • Family Medicine Physician
  • Falls Church, VA
National Provider Identifier
1013130442
Registry record updated Mar 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
M8165 Issued in TX
Practice address
5860 Columbia Pike Ste 105
Falls Church, VA 22041-2047
Phone
(703) 348-9110
Fax
(703) 888-3848
NPI assigned
Apr 11, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2007-00825 NC
Family Medicine Physician 207Q00000X M8165 TX Primary

Addresses

Primary practice location

5860 Columbia Pike Ste 105
Falls Church, VA 22041-2047

Mailing address

526 N Henry St
Alexandria, VA 22314-2233
Phone (703) 348-9110

Other practice location 1

4600 Mueller Blvd
#3003
Austin, TX 78723-3186
Phone (512) 913-8916

Other practice location 2

7609 Richmond Hwy
Alexandria, VA 22306-2847
Phone (703) 822-4940

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201113000169 DC Practitioner - Family Practice 8224210828 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2007-00825NCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Accessible Physician Home Care, LLC CurrentSince Aug 8, 2020 Accepting new patients
Graciela M Leija MD PA Past Accepting new patients
Bladen Healthcare LLC Past Accepting new patients

Locations

526 N Henry St
Alexandria, VA 22314
Phone (203) 348-8110

7609 Richmond Hwy
Alexandria, VA 22306
Phone (703) 347-9440

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615766400000",
    "number": "1013130442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "526 N HENRY ST",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223142233",
            "telephone_number": "703-348-9110",
            "fax_number": "703-348-9111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5860 COLUMBIA PIKE STE 105",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220412047",
            "telephone_number": "703-348-9110",
            "fax_number": "703-888-3848"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4600 Mueller Blvd",
            "address_2": "#3003",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787233186",
            "country_code": "US",
            "telephone_number": "512-913-8916",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7609 Richmond Hwy",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "VA",
            "postal_code": "223062847",
            "country_code": "US",
            "telephone_number": "703-822-4940",
            "fax_number": "571-257-6768",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "CECILIA",
        "middle_name": "I",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-11",
        "last_updated": "2021-03-15",
        "certification_date": "2021-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2007-00825",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "M8165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Falls Church, VA

Sources for this page

Verify at the official NPI Registry.