Individual provider Active NPI

Ivvanee Martinez, M.D.

  • Obstetrics & Gynecology Physician
  • Houston, TX
National Provider Identifier
1467761916
Registry record updated Jul 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
N7837 Issued in TX
Practice address
6410 Fannin St
Suite 1200
Houston, TX 77030-3000
Phone
(713) 757-9905
Fax
(713) 757-7952
NPI assigned
Oct 1, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X N7837 TX Primary

Addresses

Primary practice location

6410 Fannin St
Suite 1200
Houston, TX 77030-3000

Mailing address

6410 Fannin St
Suite 1200
Houston, TX 77030-3000
Phone (713) 757-9905

Other identifiers 1

IdentifierTypeStateIssuer
219819401MedicaidTX

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
I20110609000320 TX Practitioner - Obstetrics/Gynecology 4587841044 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Colorado School of Medicine, Denver, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shannon ClinicGroup PAC ID 0840103727, 550 clinicians

Practice addresses (Care Compare)

220 E Harris Ave
San Angelo, TX 76903-5906
Phone (325) 747-1511

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
N7837TXMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Children'S Physician Group CurrentSince Jul 7, 2013 Accepting new patients
Shannon Clinic Obstetrics & Gynecology CurrentSince Feb 4, 2026 Accepting new patients
Spring Branch Community Health Center CurrentSince Oct 14, 2024 Accepting new patients
Spring Branch Community Health Center Current Accepting new patients
Spring Branch Community Health Center CurrentSince Oct 14, 2024 Accepting new patients

Locations

6701 Fannin St
Ste 1420
Houston, TX 77030
Phone (832) 822-4240

1615 Hillendahl Blvd
Ste 100
Houston, TX 77055
Phone 7134626565125

6701 Fannin St
Houston, TX 77030
Phone (832) 822-1764

5502 1st St
Katy, TX 77493
Phone 7134626565127

19333 Clay Rd
Katy, TX 77449
Phone (713) 462-6555

220 E Harris Ave
San Angelo, TX 76903
Phone (325) 481-2000

Organizations & group practices 5

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 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": "1285891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310515200000",
    "number": "1467761916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6410 FANNIN ST",
            "address_2": "SUITE 1200",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770303000",
            "telephone_number": "713-757-9905",
            "fax_number": "713-757-7952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6410 FANNIN ST",
            "address_2": "SUITE 1200",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770303000",
            "telephone_number": "713-757-9905",
            "fax_number": "713-757-7952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "IVVANEE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-01",
        "last_updated": "2011-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "N7837",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "219819401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.