Individual provider Active NPI

Radames Martinez Jr., MD

  • Diagnostic Radiology Physician
  • Longview, TX
National Provider Identifier
1295725158
Registry record updated Oct 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
E8696 Issued in TX
Practice address
3713 Holly TRL
Longview, TX 75605-2541
Phone
(952) 595-1100
Fax
(612) 294-4903
NPI assigned
Oct 24, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X E8696 TX Primary

Addresses

Primary practice location

3713 Holly TRL
Longview, TX 75605-2541

Mailing address

11995 Singletree LN
Ste 500
Eden Prairie, MN 55344-5347
Phone (952) 595-1301

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, PA, NY, IL, MO, NC6 enrollments
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 6

Enrollment IDStateProvider typePAC IDDetails
I20050113001108 TX Practitioner - Diagnostic RadiologyPractitioner - Orthopedic Surgery 0840249017
I20171113000148 PA Practitioner - Diagnostic Radiology 0840249017
I20180531000172 NY Practitioner - Diagnostic Radiology 0840249017 Reassigns benefits to 2 organizations
I20181015002683 IL Practitioner - Diagnostic Radiology 0840249017 Reassigns benefits to 1 organization
I20181019001700 MO Practitioner - Diagnostic Radiology 0840249017 Reassigns benefits to 1 organization
I20190427000022 NC Practitioner - Diagnostic Radiology 0840249017 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Health Care Imaging Inc CurrentSince Jan 1, 2018 Accepting new patients
Advocates for a Healthy Community Inc CurrentSince Mar 3, 2020 Accepting new patients
Advocates for a Healthy Community, Inc CurrentSince Mar 3, 2020 Accepting new patients
Mobile X-Ray of Austin Inc CurrentSince Apr 13, 2021 Accepting new patients
Emusc, LLC CurrentSince Feb 10, 2025 Accepting new patients
Medical Imaging Specialist Inc Diagnostic Radiology CurrentSince Jun 12, 2019 Accepting new patients
Buffalo Medical Group, P.C. CurrentSince Feb 10, 2025 Accepting new patients
National Mobile X-Ray LLC CurrentSince Sep 1, 2018 Accepting new patients
Medical Imaging Specialist Inc CurrentSince Feb 1, 2019 Accepting new patients
KND Development 59 , LLC CurrentSince Sep 17, 2018 Accepting new patients
Tri-State Medical Alliance LLC CurrentSince Jan 1, 2023 Accepting new patients
D-Rad Mobile Imaging Services Diagnostic Radiology CurrentSince Feb 1, 2018 Accepting new patients
Rapid Radiology, Inc. Diagnostic Radiology CurrentSince Aug 28, 2018 Accepting new patients
Biotech X-Ray Inc CurrentSince Jun 3, 2024 Accepting new patients
Buffalo Medical Group, P.C. CurrentSince Feb 10, 2025 Accepting new patients
Ideal MRI, LLC Past Accepting new patients
King's Management & Leasing LLC Past Accepting new patients
Metropolitan Sound Imaging Inc. Past Accepting new patients
East Texas Radiology Consultants Diagnostic Radiology Past Accepting new patients
Noa Diagnostics of Ny LLC Past Accepting new patients

Locations (25 of 43)

550 N Monterey Ave
Ontario, CA 91764
Phone (909) 629-2290

10841 White Oak Ave
Rch Cucamonga, CA 91730
Phone (626) 914-1514

555 Washington St
San Diego, CA 92103
Phone (619) 260-8300

2544 W Montrose Ave
Chicago, IL 60618
Phone (773) 267-2622

4058 W Melrose St
Chicago, IL 60641
Phone (773) 267-2622

6130 N Sheridan Rd
Chicago, IL 60660
Phone (773) 381-1222

365 E North Ave
Northlake, IL 60164
Phone (517) 273-1540

9944 S Roberts Rd
Ste 106
Palos Hills, IL 60465
Phone (708) 634-2929

225 Edward St
Sycamore, IL 60178
Phone (815) 225-2144

11995 Singletree Ln
Ste 500
Eden Prairie, MN 55344
Phone (952) 595-1143

500 NW 68th St
Kansas City, MO 64118
Phone (816) 420-3600

10018 Kennerly Rd
Saint Louis, MO 63128
Phone (314) 525-4412

4930 Lindell Blvd
Saint Louis, MO 63108
Phone (314) 361-8700

10018 Kennerly Rd
Fl 3
Saint Louis, MO 63128
Phone (314) 361-8100

3827 S Timbercreek Ave
Ste B
Springfield, MO 65807
Phone (417) 887-7272

440 E Tampa St
Springfield, MO 65806
Phone (417) 831-0191

1630 E Primrose St
Springfield, MO 65804
Phone (417) 885-4700

2401 S Side Blvd
Greensboro, NC 27406
Phone (336) 271-2800

85 High St
Buffalo, NY 14203
Phone (716) 857-8623

8340 Woodhaven Blvd
Glendale, NY 11385
Phone (718) 441-0101

295 Essjay Rd
Williamsville, NY 14221
Phone (716) 630-1050

252 W 11th St
Erie, PA 16501
Phone (814) 870-3400

2000 Old West Chester Pike
Havertown, PA 19083
Phone (610) 536-2100

4714 Gettysburg Rd
Mechanicsburg, PA 17055
Phone (888) 735-6332

6129 Palmetto St
Philadelphia, PA 19111
Phone (215) 722-8555

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 20

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.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1130112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475452800000",
    "number": "1295725158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11995 SINGLETREE LN",
            "address_2": "STE 500",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553445347",
            "telephone_number": "952-595-1301",
            "fax_number": "612-294-4903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3713 HOLLY TRL",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756052541",
            "telephone_number": "952-595-1100",
            "fax_number": "612-294-4903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "RADAMES",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-24",
        "last_updated": "2016-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "E8696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longview, TX

Sources for this page

Verify at the official NPI Registry.