NPIMap

Individual provider Active NPI

Anthony Joseph Martino, M.D.

  • Internal Medicine Physician
  • Melrose Park, IL
National Provider Identifier
1457319337
Registry record updated Mar 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036110934 Issued in IL
Practice address
2225 W North Ave
Suite I
Melrose Park, IL 60160-1107
Phone
(708) 345-8255
Fax
(708) 345-0534
NPI assigned
May 2, 2006
Last updated
Mar 4, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036110934 IL Primary

Addresses

Primary practice location

2225 W North Ave
Suite I
Melrose Park, IL 60160-1107

Mailing address

2225 W North Ave
Suite I
Melrose Park, IL 60160-1107
Phone (708) 345-8255

Other identifiers 5

IdentifierTypeStateIssuer
ILLINOIS 04-10369OtherUNITED HEALTHCARE
036110934MedicaidIL
1635319OtherILBLUE CROSS BLUE SHIELD
202785622OtherPRIVATE HEALTHCARE SYSTEM
7474721OtherAENTA INSURANCE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20050808000538 IL Practitioner - Internal Medicine 0345279717 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2225 W N Ave
Suite I
Melrose Park, IL 60160-1107
Phone (708) 345-8255

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Three Point Healthcare LLC CurrentSince Aug 1, 2022 Accepting new patients
Loyola University Medical Center Current Accepting new patients

Locations

2225 W North Ave
Ste 1
Melrose Park, IL 60160
Phone (630) 335-2743

2225 W North Ave
Ste I
Melrose Park, IL 60160
Phone (708) 345-8255

Interoperability endpoints

  • Direct secure messaging: amartino50874@direct.luhs.org
  • Direct secure messaging: anthony.martino.1@14238.direct.athenahealth.com

Organizations & group practices 3

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 10

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": "1146528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425427200000",
    "number": "1457319337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2225 W NORTH AVE",
            "address_2": "SUITE I",
            "city": "MELROSE PARK",
            "state": "IL",
            "postal_code": "601601107",
            "telephone_number": "708-345-8255",
            "fax_number": "708-345-0534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2225 W NORTH AVE",
            "address_2": "SUITE I",
            "city": "MELROSE PARK",
            "state": "IL",
            "postal_code": "601601107",
            "telephone_number": "708-345-8255",
            "fax_number": "708-345-0534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINO",
        "first_name": "ANTHONY",
        "middle_name": "JOSEPH",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-02",
        "last_updated": "2015-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036110934",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "ILLINOIS 04-10369",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036110934",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "1635319",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIVATE HEALTHCARE SYSTEM",
            "identifier": "202785622",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AENTA INSURANCE",
            "identifier": "7474721",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Melrose Park, IL

Sources for this page

Verify at the official NPI Registry.