NPIMap

Individual provider Active NPI

Anthony Martinez, M.D.

  • Family Medicine Physician
  • Crozet, VA
National Provider Identifier
1497821896
Registry record updated Feb 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101237140 Issued in VA
Practice address
1646 Park Ridge Dr
Crozet, VA 22932-3155
Phone
(434) 654-2760
Fax
(434) 823-4272
NPI assigned
Nov 28, 2006
Last updated
Feb 12, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0101237140 VA Primary

Addresses

Primary practice location

1646 Park Ridge Dr
Crozet, VA 22932-3155

Mailing address

PO Box 79777
Baltimore, MD 21279-0777
Phone (434) 654-7794

Other practice location 1

435 Merchant Walk Sq Ste 400
Charlottesville, VA 22902-6516
Phone (434) 654-1800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20080606000554 VA Practitioner - Family Practice 0648340323 Reassigns benefits to 2 organizations
I20150925001459 DC Practitioner - Family Practice 0648340323 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Texas Medical Branch at Galveston, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Martha Jefferson Medical Group LLCGroup PAC ID 5991889081, 197 clinicians

Practice addresses (Care Compare)

1646 Park Ridge Dr
Crozet, VA 22932-3155
Phone (434) 654-2760

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101237140VAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Martha Jefferson Medical Group LLC Family Medicine CurrentSince Nov 14, 2017 Accepting new patients
Patient First Richmond Medical Group PLLC Family Medicine CurrentSince Aug 9, 2015 Accepting new patients
Patient First Richmond Medical Group PLLC Family Medicine CurrentSince Aug 9, 2015 Accepting new patients
Charlottesville Radiology LTD Past Accepting new patients

Locations

6311 Richmond Hwy
Alexandria, VA 22306
Phone (703) 647-6087

3918 Centreville Rd
Chantilly, VA 20151
Phone (703) 657-6925

435 Merchant Walk Sq
Ste 400
Charlottesville, VA 22902
Phone (434) 654-1800

1646 Park Ridge Dr
Crozet, VA 22932
Phone (434) 654-2760

5000 Cox Rd
Glen Allen, VA 23060
Phone (804) 822-4355

601 Potomac Station Dr NE
Leesburg, VA 20176
Phone (703) 840-1396

Interoperability endpoints

  • Direct secure messaging: amartinez326613@direct.sentara.net

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 6

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": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581465600000",
    "number": "1497821896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 79777",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212790777",
            "telephone_number": "434-654-7794",
            "fax_number": "434-823-4272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1646 PARK RIDGE DR",
            "city": "CROZET",
            "state": "VA",
            "postal_code": "229323155",
            "telephone_number": "434-654-2760",
            "fax_number": "434-823-4272"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "435 Merchant Walk Sq Ste 400",
            "address_purpose": "LOCATION",
            "city": "Charlottesville",
            "state": "VA",
            "postal_code": "229026516",
            "country_code": "US",
            "telephone_number": "434-654-1800",
            "fax_number": "844-883-6065",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-28",
        "last_updated": "2020-02-12",
        "certification_date": "2020-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101237140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crozet, VA

Sources for this page

Verify at the official NPI Registry.