Active NPI
Jose Eduardo San Martin, MD.
- Obstetrics & Gynecology Physician
- Shenandoah, TX
National Provider Identifier
1053576371
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- P3436
- Practice address
- 286 Ed English Dr. Unit C
Shenandoah, TX 77385 - Phone
- (281) 651-2090
- Fax
- (281) 607-5700
- NPI assigned
- Jul 25, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | BP84955 | TX | |
| Obstetrics & Gynecology Physician | 207V00000X | P3436 | TX | Primary |
Addresses
Primary practice location
286 Ed English Dr. Unit C
Shenandoah, TX 77385
Mailing address
286 Ed English Dr. Unit C
Shenandoah, TX 77385
Phone (281) 651-2090
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130530000640 | TX | Practitioner - Obstetrics/Gynecology | 8921246075 | Practice locations: The Woodlands, TX |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BP84955 | TX | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| First Family Clinic, Inc. | Past | Accepting new patients | |
| San Martin OB GYN & Womens Healthcare P a | Obstetrics & Gynecology | Past | Accepting new patients |
Interoperability endpoints
- jsanmartin113060@directhoustonmethodist.org
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.
-
- Obstetrics & Gynecology Physician
- The Woodlands, TX
- NPI 1013260207
-
- Family Medicine Physician
- San Antonio, TX
- NPI 1548451255
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635811200000",
"number": "1053576371",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "286 ED ENGLISH DR. UNIT C",
"city": "SHENANDOAH",
"state": "TX",
"postal_code": "77385",
"telephone_number": "281-651-2090",
"fax_number": "281-607-5700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "286 ED ENGLISH DR. UNIT C",
"city": "SHENANDOAH",
"state": "TX",
"postal_code": "77385",
"telephone_number": "281-651-2090",
"fax_number": "281-607-5700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAN MARTIN",
"first_name": "JOSE",
"middle_name": "EDUARDO",
"name_prefix": "Dr.",
"credential": "MD.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-07-25",
"last_updated": "2021-11-02",
"certification_date": "2021-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "TX",
"license": "BP84955",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "TX",
"license": "P3436",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shenandoah, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.