Gabriel J Martinez-Diaz, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

036138747 Issued in IL

Practice address

1021 W. Adams St.
L L # 1
Chicago, IL 60607

Phone

(312) 579-0700

Fax

(312) 579-0701

NPI assigned

Apr 9, 2010

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IL

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

Specialty

Dermatology

Education

Stanford University School of Medicine, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• Direct secure messaging: gmartinezdiaz147375@uihealth.direct-ci.com

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.

• M D Aesthetics and Dermatology LLC

  • Dermatology Physician
  • Chicago, IL
  • NPI 1437678133
  Medicare reassignment Authorized official
• Health Direction Medical Center, S.C.

  • Internal Medicine Physician
  • Chicago, IL
  • NPI 1184032641
  NPD

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

{
    "created_epoch": "1270771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1245556695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 W ADAMS ST STE LL",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606072934",
            "telephone_number": "312-579-0700",
            "fax_number": "312-579-0701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 W. ADAMS ST.",
            "address_2": "L L # 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60607",
            "telephone_number": "312-579-0700",
            "fax_number": "312-579-0701"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4885 Hoffman Blvd # 407",
            "address_purpose": "LOCATION",
            "city": "Hoffman Estates",
            "state": "IL",
            "postal_code": "601923726",
            "country_code": "US",
            "telephone_number": "224-484-0183",
            "fax_number": "224-699-9301",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTINEZ-DIAZ",
        "first_name": "GABRIEL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-04-09",
        "last_updated": "2022-07-21",
        "certification_date": "2021-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "IL",
            "license": "036138747",
            "primary": true
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "IL",
            "license": "036138747",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gmartinez-diaz@mdad.ezderm.info",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1021 W. Adams St.",
            "address_2": "L L # 1",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "60607",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Gabriela Martinez Zayas, MD
• Marlene Martinez Zepeda
• Jessica Victoria Martinez-Almanza, MA
• Helen Martinez-Costa, D.O.
• Daphne Martinez-Cruz
• Melinda Marty Martinez-Epperson, M.ED.
• Angela S. Martinez-Fragoso, RBT
• Shayla Brianne Martinez-O'Brien, M.A.
• Giselle Martinez-O'Connor, MSN, APRN, FNP-BC
• Francisco Jose Martinez-Rodriguez, MD

• Dermatology Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Dermatology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.

Verify at the official NPI Registry.