Mercedes Martinez, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

036092099 Issued in IL

Practice address

4200 N Oak Park Ave
Chicago, IL 60634-1417

Phone

(773) 551-2724

NPI assigned

Nov 29, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Circle Family Healthcare Network, Inc

  • Community Health Clinic/Center
  • Chicago, IL
  • NPI 1649399106
  NPD (past)
• Hopkins Medical Group Inc

  • Psychiatry Physician
  • Chicago, IL
  • NPI 1134303019
  NPD (past)
• Mercy Hospital &Medical Center

  • Internal Medicine Physician
  • Chicago, IL
  • NPI 1215914791

  Psychiatry

  NPD (past)

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

{
    "created_epoch": "1133222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644278400000",
    "number": "1184607608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2515 N ROCKWELL ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606471918",
            "telephone_number": "773-551-2724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 N OAK PARK AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606341417",
            "telephone_number": "773-551-2724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "MERCEDES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-29",
        "last_updated": "2022-02-08",
        "certification_date": "2022-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036092099",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF IL",
            "identifier": "01621679",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036092099",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary-Ellen Martinez, PSY.D.
• Maylyn Martinez
• Melissa Martinez
• Melissa Martinez
• Melissa Paige Martinez, APRN
• Michael C Martinez, L.C.P.C.
• Michelle Martinez, PSYD
• Nancy Martinez, PA-C
• Naomi Martinez
• Nicolas C Martinez, D.C, F.A.C.O

• Psychiatry Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Psychiatry Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.