Active NPI
Israel Lemus-Martinez, PA-C
- Physician Assistant
- Hickory, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0010-14433
- Practice address
- 214 18TH St SE
Hickory, NC 28602-1363 - Phone
- (828) 322-5172
- Fax
- (828) 322-6963
- NPI assigned
- Aug 12, 2024
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0010-14433 | NC | Primary |
Addresses
Primary practice location
214 18TH St SE
Hickory, NC 28602-1363
Mailing address
4601 Park Rd Ste 300
Charlotte, NC 28209-2290
Phone (828) 322-5172
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241003001542 | NC | Practitioner - Physician Assistant | 6305377151 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Afc Urgent Care and Family Care of WNC PLLCOrthocarolina
Practice addresses (Care Compare)
10102 Johnston Rd
Charlotte, NC 28210-8203
Phone (704) 247-6578
14221 Boren St
Huntersville, NC 28078-6507
Phone (980) 306-5911
1908 E Franklin Blvd
Suite 100
Gastonia, NC 28054-4742
Phone (704) 271-1215
1915 Randolph Rd
Charlotte, NC 28207-1101
Phone (704) 323-2282
214 18TH St SE
Hickory, NC 28602-1363
Phone (704) 323-2276
295 Williamson Rd
Suite a
Mooresville, NC 28117-8269
Phone (980) 444-2003
955 2ND St NE
Hickory, NC 28601-3840
Phone (423) 476-5990
Hospital & facility affiliations
- Catawba Valley Medical Center
- Frye Regional Medical Center
- Watauga Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Afc Urgent Care and Family Care of WNC, PLLC | Current | Accepting new patients | |
| Orthocarolina | Physician Assistant | Current | Accepting new patients |
| Orthocarolina | Physician Assistant | Current | Accepting new patients |
Locations
10102 Johnston Rd
Charlotte, NC 28210
Phone (704) 247-6578
1915 Randolph Rd
Charlotte, NC 28207
Phone (704) 339-1000
4601 Park Rd
Ste 300
Charlotte, NC 28209
Phone (704) 323-2090
214 18th St SE
Hickory, NC 28602
Phone (828) 322-5172
1025 Peerless Xing NW
Cleveland, TN 37312
Phone (423) 476-5990
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.
-
- Urgent Care Clinic/Center
- Charlotte, NC
- NPI 1679066658
NC
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Hickory, NC
- NPI 1801823349
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1723420800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723420800000",
"number": "1316778384",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4601 PARK RD STE 300",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282092290",
"telephone_number": "828-322-5172",
"fax_number": "828-322-6963"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "214 18TH ST SE",
"city": "HICKORY",
"state": "NC",
"postal_code": "286021363",
"telephone_number": "828-322-5172",
"fax_number": "828-322-6963"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEMUS-MARTINEZ",
"first_name": "ISRAEL",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-08-12",
"last_updated": "2024-08-12",
"certification_date": "2024-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "0010-14433",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hickory, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2024; 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.