Individual provider Active NPI

Wilfredo Torres-Martinez, M.D.

  • Clinical Genetics (M.D.) Physician
  • Indianapolis, IN
National Provider Identifier
1487610051
Registry record updated Sep 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Genetics (M.D.) PhysicianTaxonomy code 207SG0201X
License
01040730 Issued in IN
Practice address
975 W Walnut St
Ib 130
Indianapolis, IN 46202-5181
Phone
(317) 274-3966
NPI assigned
Apr 24, 2006
Last updated
Sep 29, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Genetics (M.D.) Physician 207SG0201X 01040730 IN Primary

Addresses

Primary practice location

975 W Walnut St
Ib 130
Indianapolis, IN 46202-5181

Mailing address

250 N Shadeland Ave
Indianapolis, IN 46219-4959

Other identifiers 2

IdentifierTypeStateIssuer
068010259OtherINMEDICARE
200042890MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address wtorresmartinez@direct.iuhealth.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20100226000357 IN Practitioner - Internal MedicinePractitioner - Obstetrics/Gynecology 4789729997 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01040730INMDClinical Genetics (M.D.) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Family Physicians, Inc. CurrentSince Jun 1, 2016 Accepting new patients
University Family Physicians, Inc. CurrentSince Jun 1, 2016 Accepting new patients

Locations

7216 Solutions Ctr
Chicago, IL 60677

1520 N Senate Ave
Indianapolis, IN 46202
Phone (317) 962-0857

250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174

250 N Shadeland Ave
Ste 130
Indianapolis, IN 46219
Phone (317) 962-4836

250 N Shadeland Ave
Ste 200
Indianapolis, IN 46219
Phone (317) 962-4836

975 W Walnut St
Indianapolis, IN 46202
Phone (317) 274-2242

975 W Walnut St
#130
Indianapolis, IN 46202
Phone (317) 274-2241

Interoperability endpoints

  • Direct secure messaging: wtorres1@direct.iuhealth.org
  • Direct secure messaging: wtorresmartinez@direct.iuhealth.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1145836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664409600000",
    "number": "1487610051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 N SHADELAND AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462194959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "975 W WALNUT ST",
            "address_2": "IB 130",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462025181",
            "telephone_number": "317-274-3966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TORRES-MARTINEZ",
        "first_name": "WILFREDO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-24",
        "last_updated": "2022-09-29",
        "certification_date": "2022-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207SG0201X",
            "taxonomy_group": "",
            "desc": "Medical Genetics, Clinical Genetics (M.D.)",
            "state": "IN",
            "license": "01040730",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "068010259",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200042890",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "wtorresmartinez@direct.iuhealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "975 W Walnut St",
            "address_2": "IB 130",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462025181",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.