Individual provider Active NPI

Benjamin James Martino, M.D.

  • Otolaryngology Physician
  • McKinney, TX
National Provider Identifier
1114218195
Registry record updated Nov 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
Q8748 Issued in TX
Practice address
5220 W University Dr
Suite #150
McKinney, TX 75071-7064
Phone
(972) 984-1050
Fax
(972) 984-1376
NPI assigned
Apr 26, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X Q8748 TX Primary

Addresses

Primary practice location

5220 W University Dr
Suite #150
McKinney, TX 75071-7064

Mailing address

5220 W University Dr
Suite #150
McKinney, TX 75071-7064
Phone (972) 984-1050

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
I20160722002387 TX Practitioner - Otolaryngology 8921391376 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Texas a & M University System, HSC, College of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The ENT and Allergy Centers of Texas, PLLCGroup PAC ID 4385709054, 56 clinicians

Practice addresses (Care Compare)

5220 W University Dr
Suite 150
McKinney, TX 75071-7418
Phone (972) 984-1050

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
68.58 of 100Reported as individual
Quality
43.41
Promoting interoperability
99
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The ENT & Allergy Centers of Texas, PLLC Otolaryngology CurrentSince Aug 1, 2016 Accepting new patients
Richard D Thrasher III MD PA Otolaryngology Past Accepting new patients

Locations

1111 Raintree Cir
Ste 280
Allen, TX 75013
Phone (972) 984-1050

1060 S Preston Rd
Ste 106
Celina, TX 75009
Phone (469) 488-4800

11700 Teel Pkwy
Ste 201
Frisco, TX 75033
Phone (214) 620-8698

5220 W University Dr
Ste 150
McKinney, TX 75071
Phone (972) 632-3270

4510 Medical Center Dr
Ste 100
McKinney, TX 75069
Phone (972) 984-1050

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1303776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478044800000",
    "number": "1114218195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5220 W UNIVERSITY DR",
            "address_2": "SUITE #150",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750717064",
            "telephone_number": "972-984-1050",
            "fax_number": "972-984-1376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5220 W UNIVERSITY DR",
            "address_2": "SUITE #150",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750717064",
            "telephone_number": "972-984-1050",
            "fax_number": "972-984-1376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINO",
        "first_name": "BENJAMIN",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-26",
        "last_updated": "2016-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "TX",
            "license": "Q8748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McKinney, TX

Sources for this page

Verify at the official NPI Registry.