Individual provider Active NPI

Jorge E Martinez, MD

  • Family Medicine Physician
  • Bartlett, IL
National Provider Identifier
1114984895
Registry record updated Dec 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036099034 Issued in IL
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

Updated by the provider on Dec 16, 2024

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 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

IdentifierTypeStateIssuer
036099034MedicaidIL

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051003000178 IL Practitioner - HospitalistPractitioner - Family Practice 3476589094 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Family Practice
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midwest Express Care 2, IncGroup PAC ID 0547495467, 221 clinicians

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

OrganizationSpecialtyStatusNew patients
Hospitalist Medicine Physicians of Illinois - Rockford, LLC CurrentSince Mar 1, 2020 Accepting new patients
Sanuka Medical Center SC Family Medicine CurrentSince Apr 29, 2007 Accepting new patients
Central Dupage Physician Group Family Medicine CurrentSince Feb 1, 2020 Accepting new patients
Sound Physicians of Illinois, LLC Family Medicine CurrentSince Feb 6, 2020 Accepting new patients
Central Dupage Physician Group CurrentSince Feb 1, 2020 Accepting new patients
Midwest Express Care 2, Inc CurrentSince Jun 18, 2023 Accepting new patients
Midwest Express Care 2, Inc Family Medicine CurrentSince Jun 18, 2023 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.