Individual provider Active NPI

Carlos H Martinez, MD

  • Pulmonary Disease Physician
  • Marshall, MI
National Provider Identifier
1265623458
Registry record updated Dec 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
4301095260 Issued in MI
Practice address
103 E Mansion St
Marshall, MI 49068-1117
Phone
(269) 781-2658
NPI assigned
Aug 5, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 4301095260 MI Primary
Internal Medicine Physician 207R00000X 4301095260 MI
Occupational Medicine Physician 2083X0100X BP1-0023228 TX

Addresses

Primary practice location

103 E Mansion St
Marshall, MI 49068-1117

Mailing address

103 E Mansion St
Marshall, MI 49068-1117
Phone (269) 781-2658

Other identifiers 1

IdentifierTypeStateIssuer
2784962094OtherMYUTMB 2784962094

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20120824000858 MI Practitioner - Pulmonary DiseasePractitioner - Internal MedicinePractitioner - Critical Care (Intensivists) 2365699410 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists), Internal Medicine
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ella E M Brown Charitable CircleGroup PAC ID 1254228745, 172 clinicians
Hillsdale Community Health CenterGroup PAC ID 7214846260, 66 clinicians

Practice addresses (Care Compare)

103 E Mansion St
Marshall, MI 49068-1117
Phone (269) 781-2658

168 S Howell St
Hillsdale, MI 49242-2040
Phone (517) 437-4451

Hospital & facility affiliations

  • Oaklawn Hospital Hospital, Marshall, MI, CCN 230217
  • Hillsdale Hospital Hospital, Hillsdale, MI, CCN 230037
  • Borgess Medical Center Hospital, Kalamazoo, MI, CCN 230117
  • Bronson Battle Creek Hospital Hospital, Battle Creek, MI, CCN 230075

Merit-based Incentive Payment System (MIPS)

Final score
87.06 of 100Reported as group
Quality
85.32
Promoting interoperability
100
Improvement activities
40
Cost
71.56

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
BP1-0023228TXMDOccupational Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ella E M Brown Charitable Circle CurrentSince Aug 1, 2017 Accepting new patients
Ella E M Brown Charitable Circle Internal Medicine CurrentSince Aug 1, 2017 Accepting new patients
Ella E M Brown Charitable Circle Past Accepting new patients
Ella E. M. Brown Charitable Circle Past Accepting new patients

Locations

14231 Beadle Lake Rd
Battle Creek, MI 49014
Phone (269) 704-5180

5352 Beckley Rd
Ste A
Battle Creek, MI 49015
Phone (269) 979-6800

200 N Madison St
Marshall, MI 49068
Phone (269) 789-3921

103 E Mansion St
Marshall, MI 49068
Phone (269) 781-2658

Interoperability endpoints

  • Direct secure messaging: carlos.martinez.1@9698.direct.athenahealth.com

Organizations & group practices 5

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": "1186272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576454400000",
    "number": "1265623458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 E MANSION ST",
            "city": "MARSHALL",
            "state": "MI",
            "postal_code": "490681117",
            "telephone_number": "269-781-2658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 E MANSION ST",
            "city": "MARSHALL",
            "state": "MI",
            "postal_code": "490681117",
            "telephone_number": "269-781-2658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "CARLOS",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-05",
        "last_updated": "2019-12-16",
        "certification_date": "2019-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MI",
            "license": "4301095260",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301095260",
            "primary": false
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "TX",
            "license": "BP1-0023228",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MYUTMB 2784962094",
            "identifier": "2784962094",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marshall, MI

Sources for this page

Verify at the official NPI Registry.