Individual provider Active NPI

Juan Diego Martinez, MD

  • Cardiovascular Disease Physician
  • San Antonio, TX
National Provider Identifier
1245434810
Registry record updated Jan 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
P0091 Issued in TX
Practice address
8715 Village Dr Ste 400
San Antonio, TX 78217-5407
Phone
(210) 558-0122
Fax
(210) 558-0120
NPI assigned
Jun 14, 2007
Last updated
Jan 18, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X P0091 TX Primary
Interventional Cardiology Physician 207RI0011X P0091 TX

Addresses

Primary practice location

8715 Village Dr Ste 400
San Antonio, TX 78217-5407

Mailing address

8715 Village Dr Ste 400
San Antonio, TX 78217-5407
Phone (210) 558-0122

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
I20120813000225 TX Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Interventional Cardiology 6406909563 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Interventional Cardiology
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellmed Networks, Inc.Group PAC ID 6002091261, 116 clinicians

Practice addresses (Care Compare)

8715 Village Dr
San Antonio, TX 78217-5407
Phone (210) 558-0122

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wellmed Networks, Inc. Cardiovascular Disease CurrentSince Feb 5, 2024 Accepting new patients
Peripheral Vascular Associates, P.a. Interventional Cardiology CurrentSince Jan 1, 2022 Accepting new patients
Wellmed Medical Group, PA Past Accepting new patients
William E Craig MD PA Cardiovascular Disease Past Accepting new patients
BHS Physicians Network, Inc Past Accepting new patients
Methodist Medical Group, PLLC Cardiovascular Disease Past Accepting new patients

Locations

1730 SW Military Dr
Ste 110
San Antonio, TX 78221
Phone (210) 924-3278

4330 Medical Dr
Ste 500
San Antonio, TX 78229
Phone (210) 558-0122

5047 Sherri Ann Rd
San Antonio, TX 78233

610 N Main Ave
Fl 2
San Antonio, TX 78205
Phone (210) 614-7467

610 N Main Ave
Fl Second
San Antonio, TX 78205

8637 Fredericksburg Rd
Ste 360
San Antonio, TX 78240
Phone (210) 304-3500

8715 Village Dr
Ste 400
San Antonio, TX 78217
Phone (210) 558-0122

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1181779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705536000000",
    "number": "1245434810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8715 VILLAGE DR STE 400",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782175407",
            "telephone_number": "210-558-0122",
            "fax_number": "210-558-0120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8715 VILLAGE DR STE 400",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782175407",
            "telephone_number": "210-558-0122",
            "fax_number": "210-558-0120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "JUAN",
        "middle_name": "DIEGO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-14",
        "last_updated": "2024-01-18",
        "certification_date": "2024-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "P0091",
            "primary": true
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "TX",
            "license": "P0091",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.