Individual provider Active NPI

Richard E Martinez, MD

  • Family Medicine Physician
  • Boerne, TX
National Provider Identifier
1295790921
Registry record updated Aug 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G5340 Issued in TX
Practice address
1420 River Rd 200
Boerne, TX 78006-1994
Phone
(830) 816-2552
Fax
(830) 816-3009
NPI assigned
Apr 18, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X G5340 TX Primary

Addresses

Primary practice location

1420 River Rd 200
Boerne, TX 78006-1994

Mailing address

112 Herff Rd Ste 100
Boerne, TX 78006-2751
Phone (830) 816-2552

Other identifiers 2

IdentifierTypeStateIssuer
017705701MedicaidTX
131711701MedicaidTX

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
I20100809000433 TX Practitioner - Family Practice 7719024264 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Texas Medical School at San Antonio, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
BHS Physicians Network, IncGroup PAC ID 7315019593, 702 clinicians

Practice addresses (Care Compare)

112 Herff Rd
Suite 100
Boerne, TX 78006-2751
Phone (830) 816-2552

3903 Wiseman Blvd
San Antonio, TX 78251-4402
Phone (210) 946-1400

PO Box
Suite 5730
Belfast, ME 04915-5700

Hospital & facility affiliations

  • Crest Home Health Home health agency, Boerne, TX, CCN 673124
  • Peterson Regional Medical Center Hospital, Kerrville, TX, CCN 450007

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
BHS Physicians Network, Inc Family Medicine CurrentSince Dec 5, 2018 Accepting new patients
BHS Physicians Network, Inc CurrentSince Dec 5, 2018 Accepting new patients
Wellmed Medical Group, PA Family Medicine Past Accepting new patients
BHS Specialty Network Inc Past Accepting new patients

Locations

1420 River Rd
Ste 200
Boerne, TX 78006
Phone (830) 816-2552

112 Herff Rd
Ste 100
Boerne, TX 78006
Phone (210) 545-7171

3903 Wiseman Blvd
Ste 100
San Antonio, TX 78251
Phone (210) 681-0126

3903 Wiseman Blvd
San Antonio, TX 78251
Phone (210) 681-0126

Interoperability endpoints

  • Direct secure messaging: nursing.h.schedule.riverview.1@1974.direct.athenahealth.com
  • Direct secure messaging: richard.martinez.1@1438.direct.athenahealth.com

Organizations & group practices 4

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 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": "1145318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659484800000",
    "number": "1295790921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 HERFF RD STE 100",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780062751",
            "telephone_number": "830-816-2552",
            "fax_number": "830-816-3009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 RIVER RD 200",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780061994",
            "telephone_number": "830-816-2552",
            "fax_number": "830-816-3009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "RICHARD",
        "middle_name": "E",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-18",
        "last_updated": "2022-08-03",
        "certification_date": "2022-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "G5340",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "017705701",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "131711701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boerne, TX

Sources for this page

Verify at the official NPI Registry.