Individual provider Active NPI

Mario Italo Martinez, MD

  • Pediatrics Physician
  • San Antonio, TX
National Provider Identifier
1043240864
Registry record updated Sep 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
R1580 Issued in TX
Practice address
302 Dora St
San Antonio, TX 78212-1516
Phone
(210) 358-8255
Fax
(210) 644-8025
NPI assigned
Jul 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD12082 RI
Pediatrics Physician 208000000X R1580 TX Primary

Addresses

Primary practice location

302 Dora St
San Antonio, TX 78212-1516

Mailing address

302 Dora St
San Antonio, TX 78212-1516
Phone (210) 644-8009

Other practice location 1

1831 S General McMullen Dr
San Antonio, TX 78226-1127
Phone (210) 644-8520

Other practice location 2

8300 Floyd Curl Dr
San Antonio, TX 78229-3931
Phone (210) 450-9000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mmartinez47855@uhssa.direct-ci.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20191105000484 TX Practitioner - Pediatric Medicine 2062415276 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pain Management Specialists CurrentSince Feb 7, 2021 Accepting new patients
Community Medicine Associates Pediatrics CurrentSince Oct 15, 2019 Accepting new patients

Locations

302 Dora St
San Antonio, TX 78212
Phone (210) 644-8000

903 W Martin St
#492
San Antonio, TX 78207
Phone (210) 358-3441

Interoperability endpoints

  • Direct secure messaging: mmartinez47855@uhssa.direct-ci.com

Organizations & group practices 2

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": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788998400000",
    "number": "1043240864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 DORA ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782121516",
            "telephone_number": "210-644-8009",
            "fax_number": "210-644-8025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 DORA ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782121516",
            "telephone_number": "210-358-8255",
            "fax_number": "210-644-8025"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1831 S General McMullen Dr",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782261127",
            "country_code": "US",
            "telephone_number": "210-644-8520",
            "fax_number": "210-644-8507",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8300 Floyd Curl Dr",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782293931",
            "country_code": "US",
            "telephone_number": "210-450-9000",
            "fax_number": "210-644-9307",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "MARIO",
        "middle_name": "ITALO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-04",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "RI",
            "license": "MD12082",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "R1580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mmartinez47855@uhssa.direct-ci.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "302 Dora St",
            "city": "San Antonio",
            "state": "TX",
            "country_code": "US",
            "postal_code": "782121516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.