NPIMap

Individual provider Active NPI

Alfredo L. Marti, M.D.

  • Pain Medicine Physician
  • Fort Worth, TX
National Provider Identifier
1407806326
Registry record updated Jan 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
J1722 Issued in TX
Practice address
1001 12TH Ave Ste 170
Fort Worth, TX 76104-3926
Phone
(817) 810-0500
NPI assigned
May 11, 2006
Last updated
Jan 31, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X J1722 TX
Pain Medicine Physician 208VP0000X J1722 TX Primary

Addresses

Primary practice location

1001 12TH Ave Ste 170
Fort Worth, TX 76104-3926

Mailing address

215 Old Highway 1187
Burleson, TX 76028-0281
Phone (817) 926-2663

Other identifiers 1

IdentifierTypeStateIssuer
137587512MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101118001326 TX Practitioner - Pain ManagementPractitioner - Anesthesiology 2163320342 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pain ManagementAlso: Anesthesiology
Education
University of Miami, LM Miller School of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lone Star Orthopaedic and Spine Specialists, PLLCGroup PAC ID 5597844951, 19 clinicians

Practice addresses (Care Compare)

167 Regency Pkwy
Suite 103
Mansfield, TX 76063-5093
Phone (682) 341-7110

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.21 of 100Reported as group
Quality
83.88
Promoting interoperability
98
Improvement activities
40
Cost
57.86

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Lone Star Orthopaedic and Spine Specialists, PLLC Anesthesiology CurrentSince Jan 1, 2022 Accepting new patients
Lone Star Orthopaedic and Spine Specialists, PLLC Pain Medicine CurrentSince Jan 1, 2022 Accepting new patients
Medical Centre Pain Management Associates P a CurrentSince Jan 2, 2002 Accepting new patients
Alliance Anesthesiology Associates, LP Anesthesiology Past Accepting new patients

Locations

215 Old Highway 1187
Burleson, TX 76028
Phone 8179262663118

1001 12th Ave
Ste 170
Ft Worth, TX 76104
Phone (817) 810-0500

750 13th Ave
Ft Worth, TX 76104
Phone (817) 334-5050

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

167 Regency Pkwy
Ste 103
Mansfield, TX 76063
Phone (682) 341-7110

Interoperability endpoints

  • Direct secure messaging: al.marti@1363.chartlogic.direct-ci.com
  • Direct secure messaging: alfredo.marti@lsos.eclinicaldirectplus.com
  • Direct secure messaging: amarti@direct.uspi.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/EABGAA

Organizations & group practices 4

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.

Hospital & facility affiliations 6

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": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706659200000",
    "number": "1407806326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 OLD HIGHWAY 1187",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760280281",
            "telephone_number": "817-926-2663",
            "fax_number": "817-293-8860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 12TH AVE STE 170",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761043926",
            "telephone_number": "817-810-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTI",
        "first_name": "ALFREDO",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-11",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "J1722",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "TX",
            "license": "J1722",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "137587512",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.