NPIMap

Individual provider Active NPI

Ileana Martinez, M.D.

  • Nephrology Physician
  • El Paso, TX
National Provider Identifier
1326032913
Registry record updated May 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
K5151 Issued in TX
Practice address
1310 Murchison Drive
Suite 100
El Paso, TX 79902
Phone
(915) 544-4500
Fax
(915) 544-4572
NPI assigned
Sep 9, 2005
Last updated
May 14, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X K5151 TX Primary

Addresses

Primary practice location

1310 Murchison Drive
Suite 100
El Paso, TX 79902

Mailing address

1310 Murchison Drive
Suite 100
El Paso, TX 79902
Phone (915) 544-4500

Other identifiers 2

IdentifierTypeStateIssuer
8R1600OtherBCBS
096348003MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041122000604 TX Practitioner - NephrologyPractitioner - Internal Medicine 3072578830 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
El Paso Kidney Specialists PAGroup PAC ID 6608866819, 9 clinicians

Practice addresses (Care Compare)

11989 Pellicano Dr
Suite C
El Paso, TX 79936-6288
Phone (915) 857-0700

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
El Paso Kidney Specialists PA Nephrology CurrentSince Nov 1, 2004 Accepting new patients

Locations

11989 Pellicano Dr
Ste C
El Paso, TX 79936
Phone (915) 857-0700

1310 Murchison Dr
#100
El Paso, TX 79902
Phone (915) 303-8977

1601 Brown St
El Paso, TX 79902
Phone (915) 533-1789

1700 Curie Dr
Ste 4300
El Paso, TX 79902
Phone (915) 544-4500

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17767/brand/1/csg/1/fhir/r4
  • Direct secure messaging: ileana.martinez.1@17767.direct.athenahealth.com
  • Direct secure messaging: ileana.martinez@direct.myhealthep.org

Organizations & group practices 1

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.

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1126224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431561600000",
    "number": "1326032913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 MURCHISON DRIVE",
            "address_2": "SUITE 100",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "79902",
            "telephone_number": "915-544-4500",
            "fax_number": "915-546-9430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 MURCHISON DRIVE",
            "address_2": "SUITE 100",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "79902",
            "telephone_number": "915-544-4500",
            "fax_number": "915-544-4572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "ILEANA",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-09",
        "last_updated": "2015-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": "K5151",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8R1600",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "096348003",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.