Active NPI
Octavio N. Martinez Jr., M.D., M.P.H., M.B.A.
- Psychiatry Physician
- Austin, TX
National Provider Identifier
1376520080
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- K8946
- Practice address
- 3001 Lake Austin Blvd
4TH Floor
Austin, TX 78703-4200 - Phone
- (512) 471-7625
- Fax
- (512) 471-9608
- NPI assigned
- Dec 23, 2005
- Sex
- Male
- Sole proprietor
- No
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 | K8946 | TX | Primary |
| Psychiatry Physician | 2084P0800X | 2006-01771 | NC |
Addresses
Primary practice location
3001 Lake Austin Blvd
4TH Floor
Austin, TX 78703-4200
Mailing address
PO Box 7998
Austin, TX 78713-7998
Phone (512) 471-7625
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 153929804 | Medicaid | TX | |
| 8H2040 | Other | TX | BCBS PROVIDER # |
| 8G8010 | Other | TX | BCBS PROVIDER # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Business Administration, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2006-01771 | NC | MD | Psychiatry Physician |
| K8946 | TX | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The University of Texas Health Science Center at San Antonio | Past | Accepting new patients | |
| Albemarle Mental Health Center | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- San Antonio, TX
- NPI 1326829904
-
- Mental Health Counselor
- Elizabeth City, NC
- NPI 1013012400
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135296000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1263600000000",
"number": "1376520080",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7998",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787137998",
"telephone_number": "512-471-7625"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3001 LAKE AUSTIN BLVD",
"address_2": "4TH FLOOR",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787034200",
"telephone_number": "512-471-7625",
"fax_number": "512-471-9608"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINEZ",
"first_name": "OCTAVIO",
"middle_name": "N.",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "M.D., M.P.H., M.B.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-23",
"last_updated": "2010-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "TX",
"license": "K8946",
"primary": true
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NC",
"license": "2006-01771",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "153929804",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER #",
"identifier": "8H2040",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER #",
"identifier": "8G8010",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.