Individual provider Active NPI

Martin Garza, M.D.

  • Pediatrics Physician
  • Edinburg, TX
National Provider Identifier
1124078746
Registry record updated Apr 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
L0194 Issued in TX
Practice address
3521 W Freddy Gonzalez Dr
Suite B
Edinburg, TX 78539-7339
Phone
(956) 287-2100
Fax
(956) 287-2111
NPI assigned
May 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 21, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X L0194 TX Primary

Addresses

Primary practice location

3521 W Freddy Gonzalez Dr
Suite B
Edinburg, TX 78539-7339

Mailing address

3521 W Freddy Gonzalez Dr
Suite B
Edinburg, TX 78539-7339
Phone (956) 287-2100

Other identifiers 4

IdentifierTypeStateIssuer
159406102MedicaidTX
092466405MedicaidTX
159406101MedicaidTX
8K0400OtherTXBLUECROSS PROVIDER ID

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
I20060130000309 TX Practitioner - Pediatric Medicine 4082679469 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Children'S Physician Services of South Texas Pediatrics CurrentSince Jan 1, 2024 Accepting new patients
Children'S Physician Services of South Texas CurrentSince Jan 1, 2024 Accepting new patients
Doctors Hospital at Renaissance, LTD Past Accepting new patients
Children'S Physician Services of South Texas Past Accepting new patients
Martin Garza M.D. P.a. Pediatrics Past Accepting new patients

Locations

3533 S Alameda St
Corpus Christi, TX 78411
Phone (361) 694-5445

3533 S Alameda St
Ste 203
Corpus Christi, TX 78411

1102 W Trenton Rd
Edinburg, TX 78539
Phone (956) 388-6500

1120 E Ridge Rd
Ste 100
McAllen, TX 78503
Phone (956) 558-6400

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/3fe59471-3589-4f65-b447-b92822bfc057/

Organizations & group practices 5

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": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492732800000",
    "number": "1124078746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3521 W FREDDY GONZALEZ DR",
            "address_2": "SUITE B",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785397339",
            "telephone_number": "956-287-2100",
            "fax_number": "956-287-2111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3521 W FREDDY GONZALEZ DR",
            "address_2": "SUITE B",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785397339",
            "telephone_number": "956-287-2100",
            "fax_number": "956-287-2111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARZA",
        "first_name": "MARTIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2017-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "L0194",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "159406102",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "092466405",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "159406101",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS PROVIDER ID",
            "identifier": "8K0400",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edinburg, TX

Sources for this page

Verify at the official NPI Registry.