Individual provider Active NPI

Reynaldo Roman Martinez, M.D.

  • Family Medicine Physician
  • Roswell, NM
National Provider Identifier
1245224914
Registry record updated Jul 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2002-0070 Issued in NM
Practice address
805 Sherrill LN
Roswell, NM 88201-3469
Phone
(505) 622-2882
Fax
(505) 622-2883
NPI assigned
Sep 8, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 25, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2002-0070 NM Primary

Addresses

Primary practice location

805 Sherrill LN
Roswell, NM 88201-3469

Mailing address

313 W Country Club Rd
Roswell, NM 88201-5804
Phone (505) 622-2882

Other identifiers 1

IdentifierTypeStateIssuer
04655362MedicaidNM

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20110614000333 NM Practitioner - Family Practice 9436176278 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of New Mexico School of Medicine, 1998
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

313 W Country Club Rd
Suite 4
Roswell, NM 88201-5804
Phone (575) 622-1761

Hospital & facility affiliations

  • Frontier Medical Home Care, Inc. Home health agency, Roswell, NM, CCN 327181
  • Lovelace Regional Hospital - Roswell Hospital, Roswell, NM, CCN 320086
  • Lincoln County Medical Center Hospital, Ruidoso, NM, CCN 321306
  • Eastern New Mexico Medical Center Hospital, Roswell, NM, CCN 320006

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions28
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Reynaldo R. Martinez MD LLC Family Medicine CurrentSince Jul 1, 2002 Accepting new patients
Frank a. English, M.D., P.a. Family Medicine CurrentSince Jul 1, 2020 Accepting new patients

Locations

313 W Country Club Rd
Ste 4A
Roswell, NM 88201
Phone (505) 622-2273

313 W Country Club Rd
Ste 4
Roswell, NM 88201
Phone (575) 622-1761

313 W Country Club Rd
Roswell, NM 88201
Phone (505) 623-4111

Organizations & group practices 2

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 4

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

NPI Registry JSON

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

{
    "created_epoch": "1126137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311552000000",
    "number": "1245224914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 W COUNTRY CLUB RD",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882015804",
            "telephone_number": "505-622-2882",
            "fax_number": "505-622-2883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 SHERRILL LN",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882013469",
            "telephone_number": "505-622-2882",
            "fax_number": "505-622-2883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "REYNALDO",
        "middle_name": "ROMAN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-08",
        "last_updated": "2011-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "2002-0070",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04655362",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, NM

Sources for this page

Verify at the official NPI Registry.