Active NPI
Diego Raul Martin, M.D,PHD
- Diagnostic Radiology Physician
- Atlanta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 54320
- Practice address
- 1364 Clifton Rd NE
Department of Radiology
Atlanta, GA 30322-1059 - Phone
- (404) 778-3800
- NPI assigned
- Jul 15, 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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 54320 | GA | Primary |
Addresses
Primary practice location
1364 Clifton Rd NE
Department of Radiology
Atlanta, GA 30322-1059
Mailing address
1364 Clifton Rd NE
Department of Radiology
Atlanta, GA 30322-1059
Phone (404) 778-3800
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
14211 FM 2920 Rd
Suite 110
Tomball, TX 77377-5505
Phone (346) 356-3044
16605 Southwest Fwy
Sugar Land, TX 77479-3500
Phone (281) 275-0800
16605 Southwest Fwy 400 Mob3
Methodist Family Medicine Group
Sugar Land, TX 77479-3500
Phone (281) 275-0800
16605 SW Fwy 410
Methodist Diag Card of Houston
Sugar Land, TX 77479-3500
Phone (281) 274-0148
18121 Tuckerton Rd
Suite 180
Cypress, TX 77433-7105
Phone (281) 737-1832
4015 I 45
Suite 120
Conroe, TX 77304-5076
Phone (346) 356-3044
4015 I 45 N
Conroe, TX 77304-5076
Phone (936) 270-4600
7575 San Felipe St
Suite 155
Houston, TX 77063-1777
Phone (713) 266-9955
8520 Broadway St
Pearland, TX 77584-7716
8520 W Broadway St
Pearland, TX 77584-7716
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 54320 | GA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| TMH Physician Associates PLLC | Current | Accepting new patients | |
| Methodist Radiology Associates, PLLC | Diagnostic Radiology | Current | Accepting new patients |
| TMH Physician Associates PLLC | Family Medicine | Current | Accepting new patients |
| TMH Physician Associates PLLC | Past | Accepting new patients | |
| Cardiovascular Care Providers, Inc. | Past | Accepting new patients | |
| West Virginia University Medical Corporation | Past | Accepting new patients |
Locations
18500 Katy Fwy
Houston, TX 77094
Phone (281) 206-9020
7575 San Felipe St
Ste 155
Houston, TX 77063
Phone (713) 266-9955
6550 Fannin St
Ste 749
Houston, TX 77030
Phone (713) 441-5097
16655 Southwest Fwy
Sugar Land, TX 77479
Phone (281) 274-7117
16605 Southwest Fwy
Ste 400
Sugar Land, TX 77479
Phone (281) 275-0800
6565 Fannin St
Va Hospital, TX 77030
Phone (713) 394-6000
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.
-
dba Methodist Breast Imaging
- Diagnostic Radiology Physician
- Houston, TX
- NPI 1427235704
-
- Orthopaedic Surgery Physician
- Spring, TX
- NPI 1043061351
-
- Specialist
- Houston, TX
- NPI 1437242617
-
dba TMHPO Orthopedics Department
- Orthopaedic Surgery Physician
- Pearland, TX
- NPI 1386827442
-
dba Crisis Support and Recovery Center
- Community/Behavioral Health Agency
- Martinsburg, WV
- NPI 1174233530
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1194741538",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1364 CLIFTON RD NE",
"address_2": "DEPARTMENT OF RADIOLOGY",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303221059",
"telephone_number": "404-778-3800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1364 CLIFTON RD NE",
"address_2": "DEPARTMENT OF RADIOLOGY",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303221059",
"telephone_number": "404-778-3800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "DIEGO",
"middle_name": "RAUL",
"name_prefix": "Dr.",
"credential": "M.D,PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "GA",
"license": "54320",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.