Carlos Ivan Martinez, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD2024-0621 Issued in NM

Practice address

1035 Alto St
Santa Fe, NM 87501-2406

Phone

(505) 982-4425

NPI assigned

Apr 2, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NM

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

Specialty

Family Practice

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

La Familia Medical CenterGroup PAC ID 4082601026, 30 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cmartinezquinonez358811@christushealth.direct-ci.net

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.

• La Familia Medical Center

  • Federally Qualified Health Center (FQHC)
  • Santa Fe, NM
  • NPI 1811059322
  Medicare reassignment Care Compare group NPD
• La Familia Medical Center

  • Federally Qualified Health Center (FQHC)
  • Santa Fe, NM
  • NPI 1740717743
  NPD
• La Familia Medical Center

  • Federally Qualified Health Center (FQHC)
  • Santa Fe, NM
  • NPI 1346251782

  Family Medicine

  NPD (past)
• St Vincent Hospital

  • General Acute Care Hospital
  • Santa Fe, NM
  • NPI 1578587150
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1617321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724889600000",
    "number": "1144809609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1035 ALTO ST",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875012406",
            "telephone_number": "505-982-4425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 ALTO ST",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875012406",
            "telephone_number": "505-982-4425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "CARLOS",
        "middle_name": "IVAN",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-04-02",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "MD2024-0621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cheyanne Rose Martinez Quintana
• Adrienne Ann Martinez, FNP-C
• Alyssa Martinez
• Ayziah Martinez
• Benita Martinez
• Claudia Elizabeth Martinez
• Christy M Martinez, CSW
• Daynee S. Martinez, LMSW
• Destiney Martinez
• Dorothy Louise Martinez

• Family Medicine Physician in Santa Fe, NM
• Providers in Santa Fe, NM by specialty
• Family Medicine Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.