NPIMap

Organization Active NPI

Ultra Health Providers III LLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Nashville, TN
National Provider Identifier
1366307696
Registry record updated Jul 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
Legal business name
ULTRA HEALTH PROVIDERS III LLC
Practice address
217 6TH Ave N Ste 43952
Nashville, TN 37219-1903
Phone
(731) 394-1145
NPI assigned
Dec 18, 2025
Last updated
Jul 14, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2026

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

Authorized official

Name
Timothy Martinez
Title
Ceo
Phone
(731) 394-1145

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X NU Primary

Addresses

Primary practice location

217 6TH Ave N Ste 43952
Nashville, TN 37219-1903

Mailing address

PO Box 26168
Dept 1141
Oklahoma City, OK 73126-0168
Phone (731) 394-1145

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, KY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20260216000727 TN Part B Supplier - Clinic/Group Practice 2668952052 Receives reassigned benefits from 5 practitioners
Practice locations: Mount Pleasant, TN; Red Boiling Springs, TN; Parsons, TN; Memphis, TN; Decaturville, TN; Covington, TN; Collierville, TN
O20260217003187 KY Part B Supplier - Clinic/Group Practice 2668952052 Receives reassigned benefits from 13 practitioners
Practice locations: Glasgow, KY; Salyersville, KY; Russellville, KY; Richmond, KY; Pembroke, KY; Paducah, KY; Owensboro, KY; Madisonville, KY…

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

  • Ultra Health LLC

    dba Ultra Health Provders

    • Geriatric Medicine (Internal Medicine) Physician
    • Nashville, TN
    • NPI 1922469543

    Member Of

    NPD member

Locations

726 Kentucky Ave S
Parsons, TN 38363
Phone (731) 847-6371

Practitioners & affiliated clinicians

Practitioners 19

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1766016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783987200000",
    "number": "1366307696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26168",
            "address_2": "DEPT 1141",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731260168",
            "telephone_number": "731-394-1145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 6TH AVE N STE 43952",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372191903",
            "telephone_number": "731-394-1145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ULTRA HEALTH PROVIDERS III LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-18",
        "last_updated": "2026-07-14",
        "certification_date": "2026-07-14",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "731-394-1145"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.