Active NPI
Antonio E Martinez, MD
- Anatomic Pathology & Clinical Pathology Physician
- West Des Moines, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- MD-46916
- Practice address
- 5950 University Ave Ste 161
West Des Moines, IA 50266-8234 - Phone
- (515) 875-9709
- Fax
- (515) 875-9702
- NPI assigned
- Jul 10, 2006
- 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 9
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Forensic Pathology Physician | 207ZF0201X | ME95407 | FL | |
| Hematology (Pathology) Physician | 207ZH0000X | ME95407 | FL | |
| Medical Microbiology Physician | 207ZM0300X | ME95407 | FL | |
| Neuropathology Physician | 207ZN0500X | ME95407 | FL | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | MD-46916 | IA | Primary |
| Immunopathology Physician | 207ZI0100X | ME95407 | FL | |
| Cytopathology Physician | 207ZC0500X | ME95407 | FL | |
| Blood Banking & Transfusion Medicine Physician | 207ZB0001X | ME95407 | FL | |
| Dermatopathology (Pathology) Physician | 207ZD0900X | ME95407 | FL |
Addresses
Primary practice location
5950 University Ave Ste 161
West Des Moines, IA 50266-8234
Mailing address
PO Box 424
Des Moines, IA 50302-0424
Phone (515) 872-9925
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- San Juan Bautista School of Medicine, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5950 University Ave
Suite 161
West Des Moines, IA 50266-8234
Phone (515) 875-9100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME95407 | FL | MD | Dermatopathology (Pathology) Physician |
| MD-46916 | IA | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Iowa Clinic PC | Current | Accepting new patients | |
| The Iowa Clinic, PC | Current | Accepting new patients |
Locations
1005 Pennsylvania Ave
Ste 102A
Ottumwa, IA 52501
Phone (641) 684-2589
5950 University Ave
Ste 161
West Des Moines, IA 50266
Phone (515) 875-9700
5950 University Ave
Ste 321
West Des Moines, IA 50266
Phone (515) 875-9178
Organizations & group practices 2
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.
-
- Family Medicine Physician
- West Des Moines, IA
- NPI 1346233178
-
- Durable Medical Equipment & Medical Supplies
- West Des Moines, IA
- NPI 1871451328
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703116800000",
"number": "1316971047",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 424",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503020424",
"telephone_number": "515-872-9925",
"fax_number": "515-875-9923"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5950 UNIVERSITY AVE STE 161",
"city": "WEST DES MOINES",
"state": "IA",
"postal_code": "502668234",
"telephone_number": "515-875-9709",
"fax_number": "515-875-9702"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINEZ",
"first_name": "ANTONIO",
"middle_name": "E",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-10",
"last_updated": "2023-12-21",
"certification_date": "2023-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "207ZF0201X",
"taxonomy_group": "",
"desc": "Pathology, Forensic Pathology",
"state": "FL",
"license": "ME95407",
"primary": false
},
{
"code": "207ZH0000X",
"taxonomy_group": "",
"desc": "Pathology, Hematology",
"state": "FL",
"license": "ME95407",
"primary": false
},
{
"code": "207ZM0300X",
"taxonomy_group": "",
"desc": "Pathology, Medical Microbiology",
"state": "FL",
"license": "ME95407",
"primary": false
},
{
"code": "207ZN0500X",
"taxonomy_group": "",
"desc": "Pathology, Neuropathology",
"state": "FL",
"license": "ME95407",
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "IA",
"license": "MD-46916",
"primary": true
},
{
"code": "207ZI0100X",
"taxonomy_group": "",
"desc": "Pathology, Immunopathology",
"state": "FL",
"license": "ME95407",
"primary": false
},
{
"code": "207ZC0500X",
"taxonomy_group": "",
"desc": "Pathology, Cytopathology",
"state": "FL",
"license": "ME95407",
"primary": false
},
{
"code": "207ZB0001X",
"taxonomy_group": "",
"desc": "Pathology, Blood Banking & Transfusion Medicine",
"state": "FL",
"license": "ME95407",
"primary": false
},
{
"code": "207ZD0900X",
"taxonomy_group": "",
"desc": "Pathology, Dermatopathology",
"state": "FL",
"license": "ME95407",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Des Moines, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2023; 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.