Individual provider Active NPI

Carlo O. Martinez Torres, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Knoxville, TN
National Provider Identifier
1457535379
Registry record updated Jun 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
51761 Issued in TN
Practice address
9125 Cross Park Dr
Suite 200
Knoxville, TN 37923-4564
Phone
(865) 632-5900
Fax
(865) 637-2114
NPI assigned
Dec 27, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 51761 TN Primary

Addresses

Primary practice location

9125 Cross Park Dr
Suite 200
Knoxville, TN 37923-4564

Mailing address

9125 Cross Park Dr
Suite 200
Knoxville, TN 37923-4564
Phone (865) 632-5900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20141008000709 TN Practitioner - Cardiac Surgery 4082834312 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiac Surgery
Education
Washington University School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Covenant Medical Group IncGroup PAC ID 2860305463, 363 clinicians
East Tennessee Cardiovascular Surgery Group PCGroup PAC ID 6608934203, 20 clinicians

Practice addresses (Care Compare)

9125 Cross Park Dr
Suite 200
Knoxville, TN 37923-4563
Phone (865) 632-5900

9330 Park W Blvd
Suite 100
Knoxville, TN 37923-4309
Phone (865) 632-5900

Hospital & facility affiliations

  • Covenant Homecare Home health agency, Knoxville, TN, CCN 447139
  • Methodist Medical Center of Oak Ridge Hospital, Oak Ridge, TN, CCN 440034
  • Parkwest Medical Center Hospital, Knoxville, TN, CCN 440173
  • Cumberland Medical Center Hospital, Crossville, TN, CCN 440009

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary artery bypass graft (CABG)31
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
51761TNMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

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 and National Provider Directory roles.

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": "1198713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593388800000",
    "number": "1457535379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9125 CROSS PARK DR",
            "address_2": "SUITE 200",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379234564",
            "telephone_number": "865-632-5900",
            "fax_number": "865-637-2114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9125 CROSS PARK DR",
            "address_2": "SUITE 200",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379234564",
            "telephone_number": "865-632-5900",
            "fax_number": "865-637-2114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ TORRES",
        "first_name": "CARLO",
        "middle_name": "O.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-27",
        "last_updated": "2020-06-29",
        "certification_date": "2020-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "TN",
            "license": "51761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.