Active NPI
Andrew H Martin, M.D.
- Child & Adolescent Psychiatry Physician
- San Antonio, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- M5354
- Practice address
- 9150 Huebner Rd
Suite #255
San Antonio, TX 78240-1558 - Phone
- (210) 877-0700
- Fax
- (210) 641-1816
- NPI assigned
- Oct 2, 2006
- Last updated
- Nov 14, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | M5354 | TX | |
| Child & Adolescent Psychiatry Physician | 2084P0804X | M5354 | TX | Primary |
Addresses
Primary practice location
9150 Huebner Rd
Suite #255
San Antonio, TX 78240-1558
Mailing address
9150 Huebner Rd
Suite #255
San Antonio, TX 78240-1558
Phone (210) 877-0700
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 184750102 | Medicaid | TX | |
| 8U9625 | Other | TX | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M5354 | TX | MD | Child & Adolescent Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Border Region MH Mr Community Center | Psychiatry | Current | Accepting new patients |
| Spindletop MHMR Services | Current | Accepting new patients | |
| Bluebonnet Trails Community MHMR Center | Current | Accepting new patients | |
| Bluebonnet Trails Community MHMR Center | Psychiatry | Current | Accepting new patients |
| Spindletop MHMR Services | Current | Accepting new patients | |
| Methodist Inpatient Management Group | Past | Accepting new patients | |
| Tranquility TMS Center PLLC | Psychiatry | Past | Accepting new patients |
Locations
2750 S 8th St
Beaumont, TX 77701
Phone (409) 838-6203
1500 Pappas St
Laredo, TX 78041
Phone (956) 794-3000
1009 N Georgetown St
Round Rock, TX 78664
Phone (512) 244-8374
Organizations & group practices 8
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.
-
dba Bluebonnet Trails Community Services
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Round Rock, TX
- NPI 1730135864
Psychiatry
-
- Psychiatry Physician
- Laredo, TX
- NPI 1124060173
-
- Family Medicine Physician
- Beaumont, TX
- NPI 1952357550
-
- Psychiatry Physician
- San Antonio, TX
- NPI 1740323971
-
- Psychiatry Physician
- San Antonio, TX
- NPI 1427466531
-
dba Bluebonnet Trails Community Services
- Rural Health Clinic/Center
- La Grange, TX
- NPI 1518536309
-
- Mental Health Counselor
- Beaumont, TX
- NPI 1467517656
-
- Cardiovascular Disease Physician
- San Antonio, TX
- NPI 1275582504
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1226620800000",
"number": "1356434146",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9150 HUEBNER RD",
"address_2": "SUITE #255",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782401558",
"telephone_number": "210-877-0700",
"fax_number": "210-641-1816"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9150 HUEBNER RD",
"address_2": "SUITE #255",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782401558",
"telephone_number": "210-877-0700",
"fax_number": "210-641-1816"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "ANDREW",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-02",
"last_updated": "2008-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "TX",
"license": "M5354",
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "TX",
"license": "M5354",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "184750102",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "8U9625",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2008; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.