Active NPI
Jorge E Martinez, MD
- Family Medicine Physician
- Bartlett, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 036099034
- Practice address
- 166 Bartlett PLZ
Bartlett, IL 60103-4234 - Phone
- (630) 483-0665
- Fax
- (630) 483-0526
- NPI assigned
- Apr 27, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 036099034 | IL | Primary |
Addresses
Primary practice location
166 Bartlett PLZ
Bartlett, IL 60103-4234
Mailing address
PO Box 8533
Bartlett, IL 60103-8533
Phone (630) 483-0665
Other practice location 1
40 75th St
Willowbrook, IL 60527-2325
Phone (630) 581-5372
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036099034 | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- Other, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
114 Bartlett PLZ
Bartlett, IL 60103-4234
166 Bartlett PLZ
Bartlett, IL 60103-4234
Phone (630) 483-0665
40 75TH St
Willowbrook, IL 60527-2325
Phone (630) 581-5372
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospitalist Medicine Physicians of Illinois - Rockford, LLC | Current | Accepting new patients | |
| Sanuka Medical Center SC | Family Medicine | Current | Accepting new patients |
| Central Dupage Physician Group | Family Medicine | Current | Accepting new patients |
| Sound Physicians of Illinois, LLC | Family Medicine | Current | Accepting new patients |
| Central Dupage Physician Group | Current | Accepting new patients | |
| Midwest Express Care 2, Inc | Current | Accepting new patients | |
| Midwest Express Care 2, Inc | Family Medicine | Current | Accepting new patients |
| Progressive Medical Center SC | Family Medicine | Past | Accepting new patients |
Locations
114 Bartlett Plz
Bartlett, IL 60103
Phone (630) 483-0665
166 Bartlett Plz
Bartlett, IL 60103
Phone (630) 213-3232
2070 N State Route 50
Ste 500
Bourbonnais, IL 60914
Phone (779) 236-4094
Dept 5777
Carol Stream, IL 60122
1044 N Francisco Ave
Chicago, IL 60622
Phone (773) 292-8227
1 Kish Hospital Dr
DeKalb, IL 60115
Phone (815) 754-1521
1401 E State St
Rockford, IL 61104
Phone (815) 489-4267
1800 N Main St
Wheaton, IL 60187
Phone (630) 469-0045
40 75th St
Willowbrook, IL 60527
Phone (630) 326-5312
Interoperability endpoints
- https://api.platform.athenahealth.com/20980/brand/1/csg/1/fhir/r4
Organizations & group practices 8
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.
-
- Urgent Care Clinic/Center
- Willowbrook, IL
- NPI 1548692890
Family Medicine
-
- Family Medicine Physician
- Bartlett, IL
- NPI 1235259656
-
- Family Medicine Physician
- Carol Stream, IL
- NPI 1033149844
-
- Hospitalist Physician
- Bridgeton, MO
- NPI 1043598865
Family Medicine, IL
-
- Orthopaedic Surgery Physician
- Geneva, IL
- NPI 1780012344
-
- Internal Medicine Physician
- Rockford, IL
- NPI 1790263325
-
- Urgent Care Clinic/Center
- Chicago, IL
- NPI 1659952554
-
- Internal Medicine Physician
- Addison, IL
- NPI 1629128319
Family Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734307200000",
"number": "1114984895",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8533",
"city": "BARTLETT",
"state": "IL",
"postal_code": "601038533",
"telephone_number": "630-483-0665",
"fax_number": "630-483-0665"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "166 BARTLETT PLZ",
"city": "BARTLETT",
"state": "IL",
"postal_code": "601034234",
"telephone_number": "630-483-0665",
"fax_number": "630-483-0526"
}
],
"practiceLocations": [
{
"address_1": "40 75th St",
"address_purpose": "LOCATION",
"city": "Willowbrook",
"state": "IL",
"postal_code": "605272325",
"country_code": "US",
"telephone_number": "630-581-5372",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARTINEZ",
"first_name": "JORGE",
"middle_name": "E",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-27",
"last_updated": "2024-12-16",
"certification_date": "2024-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "036099034",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036099034",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bartlett, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.