NPIMap

Individual provider Active NPI

Jorel Martinez, M.D.

  • Psychiatry Physician
  • Chicago, IL
National Provider Identifier
1336553684
Registry record updated Nov 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
036141338 Issued in IL
Practice address
5841 S Maryland Ave # Mc3077
Chicago, IL 60637-1447
Phone
(773) 702-8595
NPI assigned
Jun 15, 2014
Last updated
Nov 8, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 8, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 125-064913 IL
Psychiatry Physician 2084P0800X 036141338 IL Primary

Addresses

Primary practice location

5841 S Maryland Ave # Mc3077
Chicago, IL 60637-1447

Mailing address

5841 S Maryland Ave # Mc3077
Chicago, IL 60637-1447

Other practice location 1

2601 W Main St
Carbondale, IL 62901-1031
Phone (618) 549-5361

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IN, FL, MI4 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20170105000543 IL Practitioner - Psychiatry 7618271131 Reassigns benefits to 3 organizations
I20180712000445 IN Practitioner - Psychiatry 7618271131 Reassigns benefits to 1 organization
I20190517001145 FL Practitioner - Psychiatry 7618271131 Reassigns benefits to 2 organizations
I20191203002113 MI Practitioner - Psychiatry 7618271131 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Rush Medical College of Rush University, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Greater Orlando Psychiatric Associates, P.a.Group PAC ID 6709806284, 5 clinicians
Central Florida Psychiatric Associates, PAGroup PAC ID 6305749680, 5 clinicians

Practice addresses (Care Compare)

1417 N Semoran Blvd
Suite 203
Orlando, FL 32807-3555
Phone (407) 206-1106

2802 Aloma Ave
Suite 200
Winter Park, FL 32792-3532
Phone (407) 679-8004

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
125-064913ILMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Covered Bridge Healthcare of St. Joseph County Inc CurrentSince Mar 1, 2021 Accepting new patients
Oak Street Health Physicians Group, PC CurrentSince Dec 7, 2016 Accepting new patients
Harbor Beach Community Hospital Inc Current Accepting new patients
Osh-Il Physicians Group LLC CurrentSince Mar 22, 2017 Accepting new patients
Central Florida Psychiatric Associates, PA Psychiatry CurrentSince Mar 1, 2019 Accepting new patients
Greater Orlando Psychiatric Associates, P.a. Psychiatry CurrentSince Oct 14, 2019 Accepting new patients
Southern Illinois Medical Services, NFP CurrentSince Jan 6, 2020 Accepting new patients
St Clair Pulmonary & Critical Care P C PastSince Dec 1, 2019 Accepting new patients

Locations

1417 N Semoran Blvd
Ste 203
Orlando, FL 32807
Phone (407) 206-1106

2802 Aloma Ave
Ste 200
Winter Park, FL 32792
Phone (407) 679-4732

2601 W Main St
Carbondale, IL 62901
Phone (618) 351-7300

30 W Monroe St
Ste 1200
Chicago, IL 60603
Phone (773) 609-1758

4848 W Irving Park Rd
Chicago, IL 60641
Phone (773) 724-6200

2420 State St
East Saint Louis, IL 62205
Phone (618) 318-8809

4900 Broadway
Gary, IN 46408
Phone (219) 237-5170

5818 Columbia Ave
Hammond, IN 46320
Phone (219) 237-5160

658 E Main St
Centreville, MI 49032
Phone (269) 467-3228

210 S 1st St
Harbor Beach, MI 48441
Phone (989) 479-3201

230 S 1st St
Harbor Beach, MI 48441
Phone (989) 479-3291

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/a2aabeb9-840e-4290-b28b-f0bb3ed955f9/
  • FHIR API: https://fhir4.healow.com/fhir/r4/ABDFAD
  • Direct secure messaging: jorel.martinez.1@24284.direct.athenahealth.com

Organizations & group practices 9

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 7

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": "1402790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573171200000",
    "number": "1336553684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5841 S MARYLAND AVE # MC3077",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606371447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5841 S MARYLAND AVE # MC3077",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606371447",
            "telephone_number": "773-702-8595"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2601 W Main St",
            "address_purpose": "LOCATION",
            "city": "Carbondale",
            "state": "IL",
            "postal_code": "629011031",
            "country_code": "US",
            "telephone_number": "618-549-5361",
            "fax_number": "618-351-4878",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "JOREL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-06-15",
        "last_updated": "2019-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "125-064913",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036141338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.