Active NPI
Robert V. Demartini, M.D.
- Internal Medicine Physician
- Grapevine, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- H4281
- 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, 2009
- 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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110241713 | Other | TX | RAILROAD MEDICARE |
| 042463202 | Medicaid | TX |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| H4281 | TX | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Sage Health PLLC | Current | 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.
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Addison, TX
- NPI 1568279487
-
- Internal Medicine Physician
- Trophy Club, TX
- NPI 1316103757
-
dba Silverado Hospice Dallas
- Community Based Hospice Care Agency
- Addison, TX
- NPI 1295912855
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Community Based Hospice Care Agency
- North Richland Hills, TX
- NPI 1063452373
-
dba Silverado Hospice Dallas
- Community Based Hospice Care Agency
- Addison, TX
- NPI 1295912855
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": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2009; 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.