NPIMap

Individual provider Active NPI

Estella Faviola Martinez, M.D.

  • Family Medicine Physician
  • Chicago, IL
National Provider Identifier
1326173618
Registry record updated Oct 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036-117092 Issued in IL
Practice address
3550 E 118TH St
Chicago, IL 60617-7314
Phone
(773) 646-9800
NPI assigned
Feb 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2016

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 036-117092 IL Primary

Addresses

Primary practice location

3550 E 118TH St
Chicago, IL 60617-7314

Mailing address

3550 E 118TH St
Chicago, IL 60617-7314
Phone (773) 646-9800

Other identifiers 1

IdentifierTypeStateIssuer
036-117092OtherILSTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20070309000420 IL Practitioner - Family Practice 4587767678 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Esperanza Health CentersGroup PAC ID 2961453105, 53 clinicians

Practice addresses (Care Compare)

2001 S California Ave
Suite 100
Chicago, IL 60608-2486
Phone 7735846200130

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-117092ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Esperanza Health Centers CurrentSince Jun 27, 2022 Accepting new patients
Advocate Health & Hospitals Corp. CurrentSince Oct 10, 2016 Accepting new patients
Esperanza Health Centers Current Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Oct 10, 2016 Accepting new patients
Advocate Health and Hospitals Corporation Current Accepting new patients
Esperanza Health Centers CurrentSince Jun 27, 2022 Accepting new patients
Esperanza Health Centers Past Accepting new patients

Locations

214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160

3550 E 118th St
Chicago, IL 60617
Phone (773) 646-0480

29373 Network Pl
Chicago, IL 60673

2001 S California Ave
Chicago, IL 60608
Phone (773) 484-1201

2001 S California Ave
Ste 100
Chicago, IL 60608
Phone (773) 640-5785

6550 S Richmond St
Chicago, IL 60629
Phone (773) 309-4445

Interoperability endpoints

  • Direct secure messaging: estella.martinez.1@30520.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/11903/brand/1/csg/1/fhir/r4
  • Direct secure messaging: estella.martinez.1@11903.direct.athenahealth.com

Organizations & group practices 7

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 9

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": "1172188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475539200000",
    "number": "1326173618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3550 E 118TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606177314",
            "telephone_number": "773-646-9800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3550 E 118TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606177314",
            "telephone_number": "773-646-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "ESTELLA",
        "middle_name": "FAVIOLA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-23",
        "last_updated": "2016-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036-117092",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "036-117092",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.