NPIMap

Individual provider Active NPI

Ezequiel Martinez-Madrigal, MD

  • Family Medicine Physician
  • Saginaw, MI
National Provider Identifier
1053564146
Registry record updated Mar 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301092079 Issued in MI
Practice address
1447 N Harrison St
Saginaw, MI 48602-4727
Phone
(989) 583-4114
NPI assigned
Nov 3, 2008
Last updated
Mar 26, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4301092079 MI Primary

Addresses

Primary practice location

1447 N Harrison St
Saginaw, MI 48602-4727

Mailing address

1447 N Harrison St
Saginaw, MI 48602-4727
Phone (989) 583-4114

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address emartinezmadrigal21097@direct.covenanthealthcare.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, TX2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120315000056 MI Practitioner - Family Practice 0345409058 Reassigns benefits to 1 organization
I20140403000123 TX Practitioner - Family Practice 0345409058 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Covenant Medical Center, Inc.Group PAC ID 2769387778, 488 clinicians

Practice addresses (Care Compare)

2919 Wilder Rd
Bay Primary
Bay City, MI 48706-9299
Phone (989) 675-5706

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301092079MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Quc Pleasanton LLC CurrentSince Oct 2, 2013 Accepting new patients
Quality Care Clinic LLC CurrentSince Oct 2, 2013 Accepting new patients
Covenant Medical Center, Inc. CurrentSince Feb 15, 2012 Accepting new patients
Sona LLC of Texas CurrentSince Oct 2, 2013 Accepting new patients
Covenant Medical Center, Inc Family Medicine CurrentSince Feb 15, 2012 Accepting new patients
Covenant Medical Center, Inc. Current Accepting new patients

Locations

2919 Wilder Rd
Bay City, MI 48706
Phone (989) 583-0180

1447 N Harrison St
Saginaw, MI 48602
Phone (989) 583-4220

2106 W Oaklawn Rd
Pleasanton, TX 78064
Phone (830) 569-1950

19422 US Highway 281 N
Ste 106
San Antonio, TX 78258
Phone (210) 455-9000

318 W Loop 1604 N
San Antonio, TX 78245
Phone (210) 455-9000

6032 FM 3009
Ste 120
Schertz, TX 78154
Phone (210) 878-4033

Interoperability endpoints

  • Direct secure messaging: emartinezmadrigal21097@direct.covenanthealthcare.com

Organizations & group practices 6

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.

Hospital & facility affiliations 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1225670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616716800000",
    "number": "1053564146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1447 N HARRISON ST",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486024727",
            "telephone_number": "989-583-4114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1447 N HARRISON ST",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486024727",
            "telephone_number": "989-583-4114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ-MADRIGAL",
        "first_name": "EZEQUIEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-11-03",
        "last_updated": "2021-03-26",
        "certification_date": "2021-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301092079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "emartinezmadrigal21097@direct.covenanthealthcare.com",
            "affiliation": "N",
            "address_1": "1447 N Harrison St",
            "city": "Saginaw",
            "state": "MI",
            "country_code": "US",
            "postal_code": "486024727",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Saginaw, MI

Sources for this page

Verify at the official NPI Registry.