Individual provider Active NPI

Diego Raul Martin, M.D,PHD

  • Diagnostic Radiology Physician
  • Atlanta, GA
National Provider Identifier
1194741538
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
54320 Issued in GA
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

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120926000249 TX Practitioner - Diagnostic Radiology 2860477353 Reassigns benefits to 2 organizations

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
TMH Physician Associates PLLCGroup PAC ID 4486711744, 1,881 clinicians

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

LicenseStateTypeSpecialty
54320GAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
TMH Physician Associates PLLC CurrentSince Jan 3, 2024 Accepting new patients
Methodist Radiology Associates, PLLC Diagnostic Radiology CurrentSince Feb 21, 2024 Accepting new patients
TMH Physician Associates PLLC Family Medicine CurrentSince Jan 3, 2024 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.

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

Verify at the official NPI Registry.