Angela Martinez, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036099168 Issued in IL

Practice address

516 S Chestnut St
Wenona, IL 61377-7526

Phone

(815) 853-4402

Fax

(815) 853-4200

NPI assigned

Jun 28, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Endeavor Health Medical GroupGroup PAC ID 2163334699, 3,330 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Northshore University Healthsystem - Evanston Hospital Hospital, Evanston, IL, CCN 140010
• Swedish Hospital Hospital, Chicago, IL, CCN 140114

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Endeavor Health Medical Group

  dba NorthShore University HealthSystem Faculty Practice Associates

  • Emergency Medicine Physician
  • Evanston, IL
  • NPI 1497701882

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Endeavor Health Medical Group

  dba NorthShore Anesthesia Group

  • Anesthesiology Physician
  • Evanston, IL
  • NPI 1265695944
  NPD
• American Indian Health Service of Chicago Inc

  • Federally Qualified Health Center (FQHC)
  • Chicago, IL
  • NPI 1760572671

  Family Medicine

  NPD (past)
• Franciscan Health Dyer & Hammond

  dba St. Margaret Home Care

  • Home Health Agency
  • Lansing, IL
  • NPI 1831194182
  NPD (past)
• Roper Saint Francis Physicians Network

  • Pulmonary Disease Physician
  • Moncks Corner, SC
  • NPI 1275821688
  NPD (past)
• St Margaret Mercy Healthcare Centers

  dba St Margaret Mercy Behavioral Health Outpatient Center

  • Psychiatry Physician
  • Munster, IN
  • NPI 1861564361
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Endeavor Health Clinical Operations

  dba Endeavor Health Evanston Hospital

  • General Acute Care Hospital
  • Evanston, IL
  • NPI 1184670549
  Care Compare affiliation
• Swedish Covenant Health

  dba Endeavor Health Swedish Hospital

  • General Acute Care Hospital
  • Chicago, IL
  • NPI 1831151257
  Care Compare affiliation

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516320000000",
    "number": "1386671709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 GREEN BAY RD",
            "city": "WINNETKA",
            "state": "IL",
            "postal_code": "600931938",
            "telephone_number": "847-446-0202",
            "fax_number": "847-446-0208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 S CHESTNUT ST",
            "city": "WENONA",
            "state": "IL",
            "postal_code": "613777526",
            "telephone_number": "815-853-4402",
            "fax_number": "815-853-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "ANGELA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-28",
        "last_updated": "2018-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036099168",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036099168",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cameron Joseph Bailes
• Bella Y Baz, MD
• Samuel T Baz, MD
• Eastern Marshall County EMS
• HSHS Medical Group Inc (HSHS Medical Group Family Medicine)
• Sharshon Pharmacy Inc (Wenona Pharmacy)
• Jawaria T Suhail, M.D.
• Tyner Pharmacy Inc
• Wenona Health Center S C

• Family Medicine Physician in Wenona, IL
• Providers in Wenona, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2018; 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.
• 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.