Active NPI
Roderick Martinez, FNP-C
- Family Nurse Practitioner
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 041399302
- Practice address
- 1801 W Taylor St
Chicago, IL 60612-4795 - Phone
- (773) 523-2615
- NPI assigned
- Jan 12, 2023
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 041399302 | IL | Primary |
Addresses
Primary practice location
1801 W Taylor St
Chicago, IL 60612-4795
Mailing address
1801 W Taylor St
Chicago, IL 60612-4795
Phone (773) 523-2615
Medicare participation
Medicare enrollment files- 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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1740 W Taylor St
Chicago, IL 60612-7232
845 W Wilson Ave
Uic Medicine
Chicago, IL 60640-8090
Phone (312) 744-1295
Hospital & facility affiliations
- University of Illinois Hospital and Clinics
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041399302 | IL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Board of Trustees of the University of Illinois | Single Specialty | Current | Accepting new patients |
| The Board of Trustees of the University of Illinois | Single Specialty | Current | Accepting new patients |
| The Board of Trustees of the University of Illinois | Current | Accepting new patients |
Locations
1801 W Taylor St
Chicago, IL 60612
Phone (312) 355-1700
7732 Solution Ctr
Chicago, IL 60677
Phone (312) 355-6290
845 W Wilson Ave
Chicago, IL 60640
Phone (312) 744-1295
Interoperability endpoints
- rmartinez163639@uihealth.direct-ci.com
Organizations & group practices 3
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.
-
- Anatomic Pathology Physician
- Chicago, IL
- NPI 1386863819
Single Specialty
-
- Occupational Medicine Physician
- Chicago, IL
- NPI 1043727571
-
- Neurology Physician
- Chicago, IL
- NPI 1982824660
Single Specialty
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1861431751
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1673481600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701302400000",
"number": "1245944313",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1801 W TAYLOR ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606124795",
"telephone_number": "773-523-2615"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1801 W TAYLOR ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606124795",
"telephone_number": "773-523-2615"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINEZ",
"first_name": "RODERICK",
"name_prefix": "Mr.",
"credential": "FNP-C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-01-12",
"last_updated": "2023-11-30",
"certification_date": "2023-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "041399302",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2023; 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.