Alvaro A. Martinez, MD

Individual provider Active NPI Radiation Oncology Physician · Farmington Hills, MI

NPI 1184684136 · NPPES record last updated Jul 27, 2012

Key facts

NPI
1184684136
Entity type
Individual (NPI type 1)
Primary specialty
Radiation Oncology Physician 2085R0001X
License
4301049192 (MI)
Practice address
28595 Orchard Lake Rd
Farmington Hills, MI 48334-2977
Phone
(248) 553-0606
Fax
(248) 553-7674
NPI assigned
Mar 24, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 7

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.

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Medicare Care Compare profile

Specialty
Radiation Oncology
Education
Other, 1968
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
American Oncologic Associates of Michigan PC (9 clinicians)

Practice addresses (Care Compare)

70 Fulton St
Pontiac, MI 48341-2755
Phone (248) 338-0300

Hospital & facility affiliations

  • Beaumont Hospital Royal Oak Hospital · Royal Oak, MI · CCN 230130
  • Beaumont Hospital, Troy Hospital · Troy, MI · CCN 230269
  • Beaumont Hospital - Farmington Hills Hospital · Farmington Hills, MI · CCN 230151

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20070326000354 MI Practitioner - Radiation Oncology 5294839650 Reassigns benefits to 3 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301049192MIMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Healthcare Professionals PC Current
since Nov 1, 2011
Accepting new patients
American Oncologic Associates of Michigan, PC Radiation Oncology Current
since Dec 5, 2011
Accepting new patients
Alliance Physician Services of Michigan, P.C. Radiation Oncology Current
since Jun 1, 2017
Accepting new patients
Michigan Institute of Urology PC Current
since Jun 1, 2017
Accepting new patients
Michigan Healthcare Professionals PC Current
since Nov 1, 2011
Accepting new patients
Miro-Monroe Radiation Oncology Past Accepting new patients
Premier Radiation Oncology Services, P.L.C. Radiation Oncology Past Accepting new patients

Locations

6770 Dixie Hwy
Ste 106
Clarkston, MI 48346
Phone (248) 625-0300

13530 Michigan Ave
Ste 280
Dearborn, MI 48126
Phone (313) 476-3940

32255 Northwestern Hwy
Ste 145
Farmington Hills, MI 48334
Phone (248) 539-3027

32255 Northwestern Hwy
Ste 150
Farmington Hills, MI 48334
Phone (248) 419-3456

27900 Grand River Ave
Ste 220
Farmington Hills, MI 48336
Phone (248) 477-0552

27900 Grand River Ave
Ste 230
Farmington Hills, MI 48336
Phone (248) 473-4828

27900 Grand River Ave
Farmington Hills, MI 48336
Phone (248) 471-8120

29992 Northwestern Hwy
Ste C
Farmington Hills, MI 48334
Phone (248) 851-1430

17435 Hall Rd
Macomb, MI 48044
Phone (586) 228-0299

30365 Dequindre Rd
Madison Heights, MI 48071
Phone (248) 589-5000

70 Fulton St
Pontiac, MI 48341
Phone (248) 338-0300

1221 Pine Grove Ave
Port Huron, MI 48060
Phone (810) 989-3300

3577 W 13 Mile Rd
Ste 204
Royal Oak, MI 48073
Phone (248) 551-2441

31157 Woodward Ave
Royal Oak, MI 48073
Phone (248) 288-2250

3601 W 13 Mile Rd
Royal Oak, MI 48073

20952 E 12 Mile Rd
Ste 200
St Clr Shores, MI 48081
Phone (586) 771-4820

4550 Investment Dr
Ste B111
Troy, MI 48098
Phone (248) 952-5019

130 Town Center Dr
Ste 101
Troy, MI 48084
Phone (248) 740-0670

130 Town Center Dr
Ste 200
Troy, MI 48084
Phone (248) 740-0670

Interoperability endpoints

  • Direct secure messaging: alvaro.martinez@directaddress.net

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 4301049192 MI Yes

Addresses

Primary practice location

28595 Orchard Lake Rd
Farmington Hills, MI 48334-2977

Mailing address

2234 Colonial Blvd
Attn: Payer Contracting & Relations
Fort Myers, FL 33907-1412
Phone (239) 931-7342

Other identifiers

IdentifierTypeStateIssuer
1046265OtherMIHEALTH PLUS OF MI THRU OPNS
P01013936OtherMIRAILROAD MEDICARE
105330OtherMIUNITED HEALTHCARE COMMUNITY PLAN
41721OtherMIMERIDIAN HEALTH PLAN
5404207OtherMIAETNA THRU OAKLAND PHYSICIANS NETWORK SERVICES
320F362430OtherMIBCBSM
5404207OtherMIAETNA
1756902MedicaidMI

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 27, 2012.

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343347200000",
    "number": "1184684136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2234 COLONIAL BLVD",
            "address_2": "ATTN: PAYER CONTRACTING & RELATIONS",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339071412",
            "telephone_number": "239-931-7342",
            "fax_number": "239-931-7385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28595 ORCHARD LAKE RD",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483342977",
            "telephone_number": "248-553-0606",
            "fax_number": "248-553-7674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "ALVARO",
        "middle_name": "A.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-24",
        "last_updated": "2012-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "MI",
            "license": "4301049192",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PLUS OF MI THRU OPNS",
            "identifier": "1046265",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01013936",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE COMMUNITY PLAN",
            "identifier": "105330",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MERIDIAN HEALTH PLAN",
            "identifier": "41721",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA THRU OAKLAND PHYSICIANS NETWORK SERVICES",
            "identifier": "5404207",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "320F362430",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5404207",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1756902",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

All providers in Farmington Hills, MI · Radiation Oncology Physician in Michigan

Sources for this page

Verify at the official NPI Registry.