Individual provider Active NPI

Edmund Ruiz Martinez, CRNA

  • Certified Registered Nurse Anesthetist
  • Dallas, TX
National Provider Identifier
1356811467
Registry record updated Jul 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
AP140605 Issued in TX
Practice address
12222 Merit Dr Ste 600
Dallas, TX 75251-3294
Phone
(972) 715-5000
Fax
(972) 715-9976
NPI assigned
Dec 1, 2018
Last updated
Jul 13, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X AP140605 TX Primary
Registered Nurse 163W00000X 865843 TX

Addresses

Primary practice location

12222 Merit Dr Ste 600
Dallas, TX 75251-3294

Mailing address

PO Box 840853
Dallas, TX 75284-2579
Phone (972) 233-1999

Other practice location 1

11801 South Fwy # I-35W
Burleson, TX 76028-7021
Phone (817) 293-9110

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190304002308 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 8628317906 Reassigns benefits to 12 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northstar Anesthesia III PAGroup PAC ID 0042630501, 393 clinicians
Wichita Falls Anesthesia PLLCGroup PAC ID 7012259260, 34 clinicians
Rolling Plains Memorial HospitalGroup PAC ID 4688575228, 19 clinicians

Practice addresses (Care Compare)

1400 8TH Ave
Fort Worth, TX 76104-4110
Phone (817) 926-2544

1600 11TH St
Wichita Falls, TX 76301-4300
Phone (940) 764-7000

200 E Arizona
PO Box 690
Sweetwater, TX 79556-7120

200 E Arizona Ave
Sweetwater, TX 79556-7120
Phone (325) 219-6237

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
865843TXMDRegistered Nurse
AP140605TXMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
United Regional Health Care System Inc Current Accepting new patients
Texas Tech University Health Sciences Center Lubbock CurrentSince Sep 1, 2021 Accepting new patients
Texas Tech University Health Sciences Center Lubbock Current Accepting new patients
Northstar Anesthesia III PA Nurse Anesthetist, Certified Registered CurrentSince Apr 1, 2022 Accepting new patients
Rolling Plains Memorial Hospital Nurse Anesthetist, Certified Registered CurrentSince Jul 3, 2024 Accepting new patients
DFW Vascular Group LLP CurrentSince Jun 28, 2019 Accepting new patients
Emergenchealth PLLC Nurse Anesthetist, Certified Registered CurrentSince Feb 1, 2021 Accepting new patients
Northstar Anesthesia II PA Nurse Anesthetist, Certified Registered CurrentSince Feb 13, 2019 Accepting new patients
Texas Tech University Health Sciences Center Lubbock CurrentSince Sep 1, 2021 Accepting new patients
Terry Memorial Hospital District Nurse Anesthetist, Certified Registered CurrentSince Mar 5, 2024 Accepting new patients
Wichita Falls Anesthesia PLLC CurrentSince May 13, 2024 Accepting new patients
Terry Memorial Hospital District CurrentSince Mar 5, 2024 Accepting new patients
Shannon Clinic CurrentSince Apr 1, 2025 Accepting new patients
Miller-Franklin Limited Liability Partnership Nurse Anesthetist, Certified Registered CurrentSince Jun 28, 2019 Accepting new patients
NTX Anesthesiology Consultants PLLC CurrentSince Jun 15, 2020 Accepting new patients
Northstar Anesthesia, PA Nurse Anesthetist, Certified Registered CurrentSince Jul 24, 2023 Accepting new patients
Rolling Plains Memorial Hospital CurrentSince Jul 3, 2024 Accepting new patients

Locations (25 of 28)

705 E Felt St
Brownfield, TX 79316
Phone (806) 637-1955

11801 South Fwy
Burleson, TX 76028
Phone (817) 551-2738

11801 South Fwy
#I35W
Burleson, TX 76028
Phone (817) 293-4304

3315 S Alameda St
Corpus Christi, TX 78411
Phone (361) 761-1400

7101 S Padre Island Dr
Corpus Christi, TX 78412
Phone (361) 761-1400

12610 E Northwest Hwy
Dallas, TX 75228
Phone (214) 946-5165

221 W Colorado Blvd
Ste 625
Dallas, TX 75208
Phone (214) 943-8605

8200 Walnut Hill Ln
Dallas, TX 75231
Phone (214) 345-6148

2801 Bolton Boone Dr
Ste 105
Desoto, TX 75115
Phone (214) 946-5165

1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559

1800 Park Place Ave
Ft Worth, TX 76110
Phone (682) 703-5600

900 8th Ave
Ft Worth, TX 76104
Phone (817) 336-2100

909 9th Ave
Ft Worth, TX 76104
Phone (817) 336-6060

1310 Paluxy Rd
Granbury, TX 76048
Phone (817) 573-2273

1917 Ashland St
Houston, TX 77008
Phone (713) 861-6161

100 Medical Dr
Lake Jackson, TX 77566
Phone (713) 496-7555

3601 4th St
#1B350K
Lubbock, TX 79430
Phone (806) 743-2981

4505 82nd St
Ste 5
Lubbock, TX 79424
Phone (806) 696-4440

602 Indiana Ave
Lubbock, TX 79415
Phone (806) 743-2898

4510 Medical Center Dr
McKinney, TX 75069
Phone (214) 491-6365

6200 W Parker Rd
Plano, TX 75093
Phone (972) 608-8000

2221 Lakeside Blvd
Ste 600
Richardson, TX 75082
Phone (469) 998-7450

120 E Beauregard Ave
San Angelo, TX 76903
Phone (915) 658-1511

120 E Harris Ave
San Angelo, TX 76903
Phone (325) 653-6741

7400 Barlite Blvd
San Antonio, TX 78224
Phone (210) 921-2000

Interoperability endpoints

  • Direct secure messaging: emartinez76265@unitedregional.medalliesdirect.net
  • FHIR API: https://epicproxy.et1096.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
  • FHIR API: https://epicproxy.et1096.epichosted.com/FHIRProxy/api/fhir/r4/

Organizations & group practices 18

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.

View all 18

Hospital & facility affiliations 2

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": "1543622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657670400000",
    "number": "1356811467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 840853",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752842579",
            "telephone_number": "972-233-1999",
            "fax_number": "972-233-3666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12222 MERIT DR STE 600",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752513294",
            "telephone_number": "972-715-5000",
            "fax_number": "972-715-9976"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11801 South Fwy # I-35W",
            "address_purpose": "LOCATION",
            "city": "Burleson",
            "state": "TX",
            "postal_code": "760287021",
            "country_code": "US",
            "telephone_number": "817-293-9110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "EDMUND",
        "middle_name": "RUIZ",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-12-01",
        "last_updated": "2022-07-13",
        "certification_date": "2022-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "AP140605",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "865843",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.