Martinez Vascular Institute and Wellness LLC

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

Legal business name

MARTINEZ VASCULAR INSTITUTE AND WELLNESS LLC

Practice address

11025 Metcalf Avenue
Overland Park, KS 66210

Phone

(913) 912-3624

Fax

(913) 717-6362

NPI assigned

Mar 6, 2023

Organization subpart

No

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

Authorized official

Name

Bernardo Daniel Martinez, MDNPI 1538159983

Title

President/Medical Director

Phone

(913) 912-3624

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bernardo D Martinez, MD

  • Vascular Surgery Physician
  • Overland Park, KS
  • NPI 1538159983
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1678060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681776000000",
    "number": "1073213310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11025 METCALF AVENUE",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "66210",
            "telephone_number": "913-912-3624",
            "fax_number": "913-717-6362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11025 METCALF AVENUE",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "66210",
            "telephone_number": "913-912-3624",
            "fax_number": "913-717-6362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTINEZ VASCULAR INSTITUTE AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-06",
        "last_updated": "2023-04-18",
        "certification_date": "2023-04-12",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "BERNARDO",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "PRESIDENT/MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "913-912-3624",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachelle Kristin Martin, PT, DPT
• Sherri G Martin, MD
• Timothy James Martin, M.D.
• Emily Jayne Diller Martinelli
• Andres Daniel Martinez Alvarez, MD
• Fernanda Martinez-Frias
• Bernardo D Martinez, MD
• Jeff S Martinez, PHARMD
• Jon C Martinez, DDS
• Matthew James Martinez, OD

• Vascular Surgery Physician in Overland Park, KS
• Providers in Overland Park, KS by specialty
• Vascular Surgery Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.