Individual provider Active NPI

Henry Enoc Martinez, M.D.

  • Surgery Physician
  • Lake Jackson, TX
National Provider Identifier
1447248125
Registry record updated May 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
L4560 Issued in TX
Practice address
201 Oak Dr S
Suite 202
Lake Jackson, TX 77566-5676
Phone
(979) 297-3098
Fax
(979) 297-1180
NPI assigned
Oct 7, 2005
Last updated
May 1, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X L4560 TX Primary

Addresses

Primary practice location

201 Oak Dr S
Suite 202
Lake Jackson, TX 77566-5676

Mailing address

201 Oak Dr S
Suite 202
Lake Jackson, TX 77566-5676
Phone (979) 297-3098

Other identifiers 1

IdentifierTypeStateIssuer
155149102MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20040611000051 TX Practitioner - General Surgery 4789667692 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Ponce School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

201 Oak Dr S
Suite 101
Lake Jackson, TX 77566-5626
Phone (979) 297-3098

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy21
Hernia repair - groin (open)12
Hernia repair (minimally invasive)1-10
Mastectomy1-10
Melanoma (skin cancer) excision1-10
Removal of tissue178
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Henry E. Martinez MD, PA CurrentSince Nov 15, 2003 Accepting new patients
Anil Sinha, M.D., P.a. Surgery Past Accepting new patients

Locations

201 Oak Dr S
Ste 101
Lake Jackson, TX 77566
Phone (979) 297-3098

201 Oak Dr S
Ste 202
Lake Jackson, TX 77566
Phone (281) 332-3852

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1128643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556668800000",
    "number": "1447248125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 OAK DR S",
            "address_2": "SUITE 202",
            "city": "LAKE JACKSON",
            "state": "TX",
            "postal_code": "775665676",
            "telephone_number": "979-297-3098",
            "fax_number": "979-297-1180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 OAK DR S",
            "address_2": "SUITE 202",
            "city": "LAKE JACKSON",
            "state": "TX",
            "postal_code": "775665676",
            "telephone_number": "979-297-3098",
            "fax_number": "979-297-1180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "HENRY",
        "middle_name": "ENOC",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-07",
        "last_updated": "2019-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "L4560",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "155149102",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Jackson, TX

Sources for this page

Verify at the official NPI Registry.