Individual provider Active NPI

Robert V. Demartini, M.D.

  • Internal Medicine Physician
  • Grapevine, TX
National Provider Identifier
1275544694
Registry record updated Mar 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
H4281 Issued in TX
Practice address
1600 W College St
Suite 490
Grapevine, TX 76051-3580
Phone
(817) 481-1511
Fax
(817) 442-8243
NPI assigned
Aug 10, 2006
Last updated
Mar 30, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 30, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X H4281 TX Primary

Addresses

Primary practice location

1600 W College St
Suite 490
Grapevine, TX 76051-3580

Mailing address

105 Greenhill TRL S
Trophy Club, TX 76262-5608
Phone (972) 679-3982

Other identifiers 2

IdentifierTypeStateIssuer
110241713OtherTXRAILROAD MEDICARE
042463202MedicaidTX

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
I20050311000710 TX Practitioner - Internal Medicine 0345294302 Practice locations: Fort Worth, TX

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
New York Medical College, 1987
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

Fort Worth, TX 76244
Phone (972) 679-3982

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
H4281TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Sage Health PLLC CurrentSince Jan 1, 2025 Accepting new patients
Silverado Hospice of Houston, Inc. Past Accepting new patients
DFW Hospitalists Internal Medicine Past Accepting new patients

Locations

6400 Oak Cyn
Ste 200
Irvine, CA 92618
Phone (949) 240-7200

4500 Beltway Dr
Addison, TX 75001
Phone (888) 747-9757

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

Hospital & facility affiliations 2

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": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238371200000",
    "number": "1275544694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 GREENHILL TRL S",
            "city": "TROPHY CLUB",
            "state": "TX",
            "postal_code": "762625608",
            "telephone_number": "972-679-3982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 W COLLEGE ST",
            "address_2": "SUITE 490",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760513580",
            "telephone_number": "817-481-1511",
            "fax_number": "817-442-8243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMARTINI",
        "first_name": "ROBERT",
        "middle_name": "V.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-10",
        "last_updated": "2009-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "H4281",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110241713",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "042463202",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grapevine, TX

Sources for this page

Verify at the official NPI Registry.