Active NPI
Brandon Keith Martinez, MD
- Vascular & Interventional Radiology Physician
- Fishers, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular & Interventional Radiology Physician
- License
- 01069198A
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201022130 | Medicaid | IN |
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
Enrollment records 1
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
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 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 125-052175 | IL | MD | Diagnostic Radiology Physician |
| 01069198A | IN | MD | Vascular & Interventional Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia Dynamics LLC | Current | Accepting new patients | |
| Radiology of Indiana P C | Diagnostic Radiology | Current | Accepting new patients |
| Urology of Indiana, L.L.C. | Current | Accepting new patients | |
| Urology of Indiana L.L.C. | Vascular & Interventional Radiology | Current | Accepting new patients |
| Comprehensive Pain and Spine Specialists LLC | Current | 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.
| Facility | Type | Role | Since |
|---|---|---|---|
| Ascension Medical Group St. Vincent | Rural health clinic | Corporate Officer | Jul 1, 2020 |
| Ascension Medical Group St. Vincent | 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.
-
- Rural Health Clinic/Center
- Winchester, IN
- NPI 1225301740
Corporate Officer
-
- Rural Health Clinic/Center
- Union City, IN
- NPI 1871866384
Corporate Officer
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.
-
- Urology Physician
- Greenwood, IN
- NPI 1487680518
Vascular & Interventional Radiology
-
- Diagnostic Radiology Physician
- Indianapolis, IN
- NPI 1699072611
-
- Interventional Pain Medicine Physician
- Muncie, IN
- NPI 1497426050
-
- Diagnostic Radiology Physician
- Indianapolis, IN
- NPI 1992723829
-
- Customized Equipment (DME)
- Indianapolis, IN
- NPI 1740360379
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Terre Haute, IN
- NPI 1619975331
-
- General Acute Care Hospital
- Terre Haute, IN
- NPI 1821859752
-
- Critical Access Hospital
- Clinton, IN
- NPI 1306844519
-
- General Acute Care Hospital
- Clinton, IN
- NPI 1093713802
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.