Individual provider Active NPI

Brandon Keith Martinez, MD

  • Vascular & Interventional Radiology Physician
  • Fishers, IN
National Provider Identifier
1023271947
Registry record updated Jan 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
01069198A Issued in IN
Practice address
14300 E 138TH
Fishers, IN 46037-0050
Phone
(877) 362-2778
NPI assigned
Jul 10, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 125-052175 IL
Vascular & Interventional Radiology Physician 2085R0204X 01069198A IN Primary

Addresses

Primary practice location

14300 E 138TH
Fishers, IN 46037-0050

Mailing address

679 E County Line Rd
Greenwood, IN 46143-1049

Other practice location 1

8433 Harcourt Rd Ste 100
Indianapolis, IN 46260-2193
Phone (317) 583-7600

Other identifiers 1

IdentifierTypeStateIssuer
201022130MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20110610000111 IN Practitioner - Interventional Radiology 1456538966 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional Radiology
Education
Indiana University School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Imaging Associates of Indiana PCGroup PAC ID 1254503345, 293 clinicians
Urology of Indiana LLCGroup PAC ID 7517870009, 79 clinicians

Practice addresses (Care Compare)

1201 S Main St
Crown Point, IN 46307-8481
Phone (219) 757-6320

14300 E 138TH St
BLDG a
Fishers, IN 46037-0087
Phone (317) 813-1660

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
72.2 of 100Reported as group
Quality
71.68
Improvement activities
40
Cost
59.26

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
125-052175ILMDDiagnostic Radiology Physician
01069198AINMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Dynamics LLC CurrentSince Sep 10, 2021 Accepting new patients
Radiology of Indiana P C Diagnostic Radiology CurrentSince Dec 1, 2023 Accepting new patients
Urology of Indiana, L.L.C. CurrentSince Feb 1, 2025 Accepting new patients
Urology of Indiana L.L.C. Vascular & Interventional Radiology CurrentSince Feb 1, 2025 Accepting new patients
Comprehensive Pain and Spine Specialists LLC CurrentSince Dec 20, 2021 Accepting new patients
Major Hospital Past Accepting new patients

Locations

4411 Washington Ave
Ste 100
Evansville, IN 47714
Phone (313) 637-9861

14300 E 138th
Ste A
Fishers, IN 46037
Phone (317) 813-1660

14300 E 138th
Fishers, IN 46037
Phone (317) 813-1660

1721 Magnavox Way
#A
Fort Wayne, IN 46804
Phone (260) 250-0001

6189 W John L Modglin Dr
Ste 103
Greenfield, IN 46140
Phone (317) 866-7301

679 E County Line Rd
Greenwood, IN 46143
Phone (317) 807-1262

1270 N Post Rd
Ste A
Indianapolis, IN 46219
Phone (317) 895-6095

9998 Crosspoint Blvd
Ste 200
Indianapolis, IN 46256

3570 N Briarwood Ln
Muncie, IN 47304
Phone (765) 213-6373

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Ascension Medical Group St. VincentWinchester, IN, CCN 153881 Rural health clinic Corporate Officer Jul 1, 2020
Ascension Medical Group St. VincentUnion City, IN, CCN 153879 Rural health clinic Corporate Officer Jul 1, 2020

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 7

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1215648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736812800000",
    "number": "1023271947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "679 E COUNTY LINE RD",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461431049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14300 E 138TH",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460370050",
            "telephone_number": "877-362-2778"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8433 Harcourt Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462602193",
            "country_code": "US",
            "telephone_number": "317-583-7600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "BRANDON",
        "middle_name": "KEITH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-10",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "125-052175",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "IN",
            "license": "01069198A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201022130",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fishers, IN

Sources for this page

Verify at the official NPI Registry.