Jose G. Martinez, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

165417 Issued in MD

Practice address

5925 Two Pines TRL
Wake Forest, NC 27587-8461

Phone

(919) 556-2704

Fax

(919) 556-2704

NPI assigned

May 10, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MD, DC2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Carroll Lutheran Village Inc

  • Skilled Nursing Facility
  • Westminster, MD
  • NPI 1437162526

  Adp of the SNF, Indirect Ownership Interest, Operational/Managerial Control

  CMS ownership

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.

• Mdics Rehabilitative Services - Ltcaco LLC

  • Internal Medicine Physician
  • La Plata, MD
  • NPI 1033005475

  DC, Internal Medicine, MD

  Medicare reassignment Care Compare group NPD
• Mdics Rehabilitative Services LLC

  • Internal Medicine Physician
  • Glen Burnie, MD
  • NPI 1124313309

  DC, Internal Medicine, MD

  Medicare reassignment Care Compare group NPD
• Adfinitas Health at Encompass Rehab LLC

  • Internal Medicine Physician
  • Bowie, MD
  • NPI 1568152932

  DC, Internal Medicine

  Medicare reassignment NPD
• Alignmed Partners, PC

  • Geriatric Medicine (Internal Medicine) Physician
  • Gardendale, AL
  • NPI 1881109452

  MD

  Medicare reassignment NPD
• Hospimed, PLLC

  • Specialist
  • Wake Forest, NC
  • NPI 1740465822
  NPD (past) Authorized official
• Mdics at Civista LLC

  • Hospitalist Physician
  • La Plata, MD
  • NPI 1225323496

  Hospitalist

  NPD
• Atlantic General Hospital Corporation

  • Family Medicine Physician
  • Berlin, MD
  • NPI 1871582171

  Internal Medicine

  NPD (past)
• Bel Pre Leasing Co., LLC

  • Skilled Nursing Facility
  • Silver Spring, MD
  • NPI 1063699288
  NPD (past)
• Carroll Lutheran Village Inc

  • Skilled Nursing Facility
  • Westminster, MD
  • NPI 1437162526
  NPD (past)
• Frederick Health Care LLC

  • Skilled Nursing Facility
  • Frederick, MD
  • NPI 1366997421
  NPD (past)
• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)
• Takoma Park MD Opco LLC

  • Skilled Nursing Facility
  • Takoma Park, MD
  • NPI 1760017560
  NPD (past)

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

• Bridginglife, Inc.

  • Community Based Hospice Care Agency
  • Westminster, MD
  • NPI 1437156775

  Hospice

  Care Compare affiliation
• Carroll Lutheran Village Inc

  • Skilled Nursing Facility
  • Westminster, MD
  • NPI 1437162526

  Nursing home

  Care Compare affiliation
• Frederick Health Care LLC

  • Skilled Nursing Facility
  • Frederick, MD
  • NPI 1366997421

  Nursing home

  Care Compare affiliation
• Frederick Health Hospital Inc

  • Community Based Hospice Care Agency
  • Frederick, MD
  • NPI 1205832268

  Hospice

  Care Compare affiliation
• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527

  Hospital

  Care Compare affiliation
• Medstar Southern Maryland Hospital Center Inc

  • General Acute Care Hospital
  • Clinton, MD
  • NPI 1366790693

  Hospital

  Care Compare affiliation
• White Plains Health Care LLC

  • Skilled Nursing Facility
  • White Plains, MD
  • NPI 1518412675

  Nursing home

  Care Compare affiliation

Specialty

Internal Medicine

Education

Other, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mdics Rehabilitative Services LLC 25 clinicians

Mdics Rehabilitative Services - Ltcaco LLC 13 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Bridginglife, Inc. Hospice, Westminster, MD, CCN 211522
• Frederick Health Hospice Hospice, Frederick, MD, CCN 211516
• Medstar Southern Maryland Hospital Center Hospital, Clinton, MD, CCN 210062
• Frederick Health Hospital Hospital, Frederick, MD, CCN 210005
• Restore Health Rehabilitation Center Nursing home, White Plains, MD, CCN 215362
• Carroll Lutheran Village Nursing home, Westminster, MD, CCN 215133
• Northampton Manor Nursing and Rehabilitation Cente Nursing home, Frederick, MD, CCN 215217

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632096000000",
    "number": "1417907858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5925 TWO PINES TRL",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275878461",
            "telephone_number": "919-556-2704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5925 TWO PINES TRL",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275878461",
            "telephone_number": "919-556-2704",
            "fax_number": "919-556-2704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "JOSE",
        "middle_name": "G.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-10",
        "last_updated": "2021-09-20",
        "certification_date": "2021-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "MD",
            "license": "D0045688",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NC",
            "license": "95-00134",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "165417",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89-54037",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89-54037",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Makenna Kendall Marti-Rasheva
• Courtney Marie Martin
• James Patrick Martin, DMD, MS
• Nicholas Martin, PTA
• Sandra Elizabeth Martin, DMD PA
• Mallory Martlock, DPT
• Deirdre Lee Martyn, LPA HSP-PA
• Linda Kay Masai, RDN, LDN
• Audrey Grace Masilla, PH.D.
• Kemba Mason, LPCA

• All providers in Wake Forest, NC
• Internal Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.