Individual provider Active NPI

Manuel Martinez

  • Certified Registered Nurse Anesthetist
  • Birmingham, AL
National Provider Identifier
1124131594
Registry record updated Jul 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
1027259 Issued in AL
Practice address
700 19TH St S
Birmingham, AL 35233-1927
Phone
(205) 933-8101
NPI assigned
Aug 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 1027259 AL Primary

Addresses

Primary practice location

700 19TH St S
Birmingham, AL 35233-1927

Mailing address

700 19TH St S
Birmingham, AL 35233-1927

Other practice location 1

1280 Columbiana Rd Ste 120
Vestavia Hills, AL 35216-1604
Phone (205) 916-5201

Other identifiers 2

IdentifierTypeStateIssuer
430072321OtherALRR MEDICARE
051507451OtherALBCBS OF AL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101005000251 AL Practitioner - Certified Registered Nurse Anesthetist (Crna) 8325230790 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Alabama Anesthesiology, Inc.Group PAC ID 0446595748, 7 clinicians
Azura Anesthesia Partners LLCGroup PAC ID 6608281167, 21 clinicians

Practice addresses (Care Compare)

100 Pilot Medical Dr
Suite 300
Birmingham, AL 35235-3412
Phone (205) 856-2284

1280 Columbiana Rd
Suite 120
Vestavia Hills, AL 35216-1604
Phone (205) 916-5201

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
1027259ALMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Ambulatory Anesthesia & Pain Medicine, P.C. CurrentSince Oct 1, 2020 Accepting new patients
Central Alabama Anesthesiology, Inc. Nurse Anesthetist, Certified Registered CurrentSince Mar 17, 2025 Accepting new patients
Gastroenterology Associates of North-Central Alabama Inc Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2020 Accepting new patients
Azura Anesthesia Partners LLC CurrentSince Jan 15, 2024 Accepting new patients
Gastroenterology Associates of North-Central Alabama Inc Current Accepting new patients
Premier Anesthesia of Montgomery PC Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

100 Pilot Medical Dr
Ste 300
Birmingham, AL 35235
Phone (205) 856-2284

52 Medical Park Dr E
Ste 401
Birmingham, AL 35235
Phone (205) 838-3524

50 Medical Park Dr E
Birmingham, AL 35235
Phone (205) 838-3000

2621 19th St S
Homewood, AL 35209
Phone (205) 271-8019

400 Taylor Rd
Montgomery, AL 36117
Phone (334) 213-6287

1280 Columbiana Rd
Ste 120
Vestavia Hills, AL 35216
Phone (205) 916-0105

Organizations & group practices 6

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": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721779200000",
    "number": "1124131594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 19TH ST S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352331927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 19TH ST S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352331927",
            "telephone_number": "205-933-8101"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1280 Columbiana Rd Ste 120",
            "address_purpose": "LOCATION",
            "city": "Vestavia Hills",
            "state": "AL",
            "postal_code": "352161604",
            "country_code": "US",
            "telephone_number": "205-916-5201",
            "fax_number": "205-916-5274",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "MANUEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-17",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AL",
            "license": "1027259",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "430072321",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF AL",
            "identifier": "051507451",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.