Active NPI
Manuel Martinez
- Certified Registered Nurse Anesthetist
- Birmingham, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 1027259
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 430072321 | Other | AL | RR MEDICARE |
| 051507451 | Other | AL | BCBS OF AL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1027259 | AL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ambulatory Anesthesia & Pain Medicine, P.C. | Current | Accepting new patients | |
| Central Alabama Anesthesiology, Inc. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Gastroenterology Associates of North-Central Alabama Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Azura Anesthesia Partners LLC | Current | 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.
-
- Certified Registered Nurse Anesthetist
- Birmingham, AL
- NPI 1609365006
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Birmingham, AL
- NPI 1154371839
-
- Specialist
- Birmingham, AL
- NPI 1528080595
-
- Anesthesiology Physician
- Birmingham, AL
- NPI 1912446105
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Montgomery, AL
- NPI 1780636233
Nurse Anesthetist, Certified Registered
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.