Individual provider Active NPI

James C Martin, MD

  • Family Medicine Physician
  • San Antonio, TX
National Provider Identifier
1144226572
Registry record updated Mar 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
E1039 Issued in TX
Practice address
4118 Pond Hill Rd Ste 202
San Antonio, TX 78231-1282
Phone
(210) 450-6620
Fax
(210) 450-6621
NPI assigned
Jun 21, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2018

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 E1039 TX Primary

Addresses

Primary practice location

4118 Pond Hill Rd Ste 202
San Antonio, TX 78231-1282

Mailing address

7703 Floyd Curl Dr # Mc7977
San Antonio, TX 78229-3901
Phone (210) 450-6620

Other practice location 1

4118 Pond Hill Rd
Ste 202
Shavano Park, TX 78231-1281
Phone (210) 492-1522

Other identifiers 4

IdentifierTypeStateIssuer
121265607MedicaidTX
121265608OtherTXCSHCN
121265606MedicaidTX
121265603MedicaidTX

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
I20100223000161 TX Practitioner - Family PracticePractitioner - Sports Medicine 7517993181 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Texas Health Science Center at San Antonio CurrentSince Jan 1, 2018 Accepting new patients
University of Texas Health Science Center at San Antonio Family Medicine Current Accepting new patients
The University of Texas Health Science Center at San Antonio CurrentSince Jan 1, 2018 Accepting new patients
C H Wilkinson Physician Network Family Medicine CurrentSince Nov 7, 2016 Accepting new patients
C H Wilkinson Physician Network CurrentSince Nov 7, 2016 Accepting new patients

Locations

1276 S Peachtree St
Jasper, TX 75951
Phone (409) 384-5701

333 N Santa Rosa
San Antonio, TX 78207
Phone (210) 704-2190

7703 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 450-3700

333 N Santa Rosa
Fl 4
San Antonio, TX 78207
Phone (210) 704-4140

315 N San Saba
Fl 2
San Antonio, TX 78207
Phone (210) 704-4140

7703 Floyd Curl Dr
#7977
San Antonio, TX 78229
Phone (210) 292-0400

4118 Pond Hill Rd
Ste 202
Shavano Park, TX 78231
Phone (210) 450-6620

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/996/brand/1/csg/213/fhir/r4

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": "1119312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519948800000",
    "number": "1144226572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7703 FLOYD CURL DR # MC7977",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293901",
            "telephone_number": "210-450-6620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4118 POND HILL RD STE 202",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782311282",
            "telephone_number": "210-450-6620",
            "fax_number": "210-450-6621"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4118 Pond Hill Rd",
            "address_2": "STE 202",
            "address_purpose": "LOCATION",
            "city": "Shavano Park",
            "state": "TX",
            "postal_code": "782311281",
            "country_code": "US",
            "telephone_number": "210-492-1522",
            "fax_number": "210-492-1392",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "JAMES",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-21",
        "last_updated": "2018-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "E1039",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "121265607",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CSHCN",
            "identifier": "121265608",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "121265606",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "121265603",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.