Individual provider Active NPI

Martin Poliak, MD

  • Internal Medicine Physician
  • Houston, TX
National Provider Identifier
1457338931
Registry record updated Feb 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
K2261 Issued in TX
Practice address
1701 Sunset Blvd
Houston, TX 77005-1713
Phone
(713) 526-5511
Fax
(713) 520-4755
NPI assigned
Dec 27, 2005
Last updated
Feb 9, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2016

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 K2261 TX Primary

Addresses

Primary practice location

1701 Sunset Blvd
Houston, TX 77005-1713

Mailing address

PO Box 4767
Houston, TX 77210-4767
Phone (713) 526-5511

Other identifiers 1

IdentifierTypeStateIssuer
102113102MedicaidTX

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
I20100901000983 TX Practitioner - Internal Medicine 6901980150 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4119 Montrose Blvd
Suite 100
Houston, TX 77006-4971
Phone (713) 529-9211

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Norman B Frankel Et Al PTR Medical Clinic of Houston CurrentSince Mar 1, 1999 Accepting new patients
Martin Poliak MD PLLC Internal Medicine CurrentSince Jul 21, 2025 Accepting new patients
Norman B Frankel Et Al PTR Medical Clinic of Houston Internal Medicine CurrentSince Mar 1, 1999 Accepting new patients

Locations

1701 Sunset Blvd
Houston, TX 77005
Phone (713) 526-5511

4119 Montrose Blvd
Ste 100
Houston, TX 77006
Phone (713) 333-9702

Interoperability endpoints

  • Direct secure messaging: mpoliak26122@direct.houstonmethodist.org

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 2

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": "1135641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454976000000",
    "number": "1457338931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4767",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772104767",
            "telephone_number": "713-526-5511",
            "fax_number": "713-520-4755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 SUNSET BLVD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770051713",
            "telephone_number": "713-526-5511",
            "fax_number": "713-520-4755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLIAK",
        "first_name": "MARTIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-27",
        "last_updated": "2016-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "K2261",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102113102",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.