Individual provider Active NPI

Yanira Marisol Martinez, MD

  • Internal Medicine Physician
  • Brownsville, TX
National Provider Identifier
1457446288
Registry record updated Jun 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
L7473 Issued in TX
Practice address
5460 Paredes Line Rd
Ste 200
Brownsville, TX 78526-9740
Phone
(956) 554-0010
Fax
(956) 554-3288
NPI assigned
Oct 4, 2006
Last updated
Jun 15, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 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 L7473 TX Primary

Addresses

Primary practice location

5460 Paredes Line Rd
Ste 200
Brownsville, TX 78526-9740

Mailing address

5460 Paredes Line Rd
Ste 200
Brownsville, TX 78526-9740
Phone (956) 554-0010

Other identifiers 2

IdentifierTypeStateIssuer
482452YLPSOtherTXWELLMED PTAN
172176304MedicaidTX

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
I20050113000685 TX Practitioner - Internal Medicine 1355390683 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
State University of New York at Stony Brook, School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Wellmed Medical Group PAGroup PAC ID 4880657386, 666 clinicians

Practice addresses (Care Compare)

5460 N Paredes Line Road
200 Wellmed at North Brownsville
Brownsville, TX 78526-9741
Phone (956) 554-0010

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L7473TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wellmed Medical Group, PA Internal Medicine Current Accepting new patients
Wellmed Medical Group, P.a. Internal Medicine CurrentSince Mar 7, 2016 Accepting new patients
Wellmed Medical Group, P.a. Internal Medicine CurrentSince Mar 7, 2016 Accepting new patients
Antonio M. Diaz Jr Mdpa Inc. PastSince Apr 13, 2012 Accepting new patients

Locations

5460 Paredes Line Rd
Ste 200
Brownsville, TX 78526
Phone (956) 554-0010

6157 NW Loop 410
Ste 124
San Antonio, TX 78238
Phone (210) 523-1411

8637 Fredericksburg Rd
Ste 360
San Antonio, TX 78240
Phone (210) 304-3500

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/3795/brand/1/csg/1/fhir/r4
  • Direct secure messaging: yanira.martinez@wellmed.eclinicaldirectplus.com

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 1

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": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465948800000",
    "number": "1457446288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5460 PAREDES LINE RD",
            "address_2": "STE 200",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785269740",
            "telephone_number": "956-554-0010",
            "fax_number": "956-554-3288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5460 PAREDES LINE RD",
            "address_2": "STE 200",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785269740",
            "telephone_number": "956-554-0010",
            "fax_number": "956-554-3288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "YANIRA",
        "middle_name": "MARISOL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2016-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "L7473",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMED PTAN",
            "identifier": "482452YLPS",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "172176304",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brownsville, TX

Sources for this page

Verify at the official NPI Registry.