Rafael Martinez
Individual provider Active NPI Family Medicine Physician · Great Falls, MT
NPI 1508286451 · NPPES record last updated Apr 28, 2020
Key facts
- NPI
- 1508286451
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 52575 (MT)
- Practice address
- 1101 26TH St S
Great Falls, MT 59405 - Phone
- (406) 731-8888
- Fax
- (406) 731-8876
- NPI assigned
- Apr 18, 2014
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 13
Hospital & facility affiliations 12
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Nova Southeastern College of Osteo Medicine, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Concord Medical Group of Texas PLLC
Third Coast Emergency Physicians Southwest PA
Practice addresses (Care Compare)
200 S Interstate 35
Pearsall, TX 78061-6601
Phone (830) 334-3617
4103 N Loop 1604
San Antonio, TX 78249-1395
Phone (210) 572-8415
Hospital & facility affiliations
- Frio Regional Hospital
- Baptist Neighborhood Hospital Thousand Oaks
- Baptist Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.86 of 100
- Quality
- 92.78
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (4 enrollments) in MT, KY, IN, TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170424000978 | MT | Practitioner - Family Practice | 0244516466 | Reassigns benefits to 3 organizations |
| I20190830002337 | KY | Practitioner - Family Practice | 0244516466 | Reassigns benefits to 3 organizations |
| I20231215002261 | IN | Practitioner - Emergency Medicine | 0244516466 | Reassigns benefits to 1 organization |
| I20240109004262 | TX | Practitioner - Family Practice |
0244516466 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 52575 | MT | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Methodist Health, Inc. | Emergency Medicine | Current |
Accepting new patients |
| CMSC, LLC | Current |
Accepting new patients | |
| Methodist Health, Inc. | Current |
Accepting new patients | |
| Methodist Health, Inc. | Emergency Medicine | Current | Accepting new patients |
| Third Coast Emergency Physicians Southwest PA | Emergency Medicine | Current |
Accepting new patients |
| Benefis Hospitals Inc | Current |
Accepting new patients | |
| Emergency Professionals of Indiana, P.C. | Emergency Medicine | Current |
Accepting new patients |
| Methodist Health, Inc. | Emergency Medicine | Current |
Accepting new patients |
| Benefis Hospitals, Inc. | Current |
Accepting new patients | |
| Travis County Emergency Physicians PA | Emergency Medicine | Current |
Accepting new patients |
| Concord Medical Group of Texas PLLC | Emergency Medicine | Current |
Accepting new patients |
Locations
3700 Washington Ave
Evansville, IN 47714
Phone (812) 232-0021
3630 Willowcreek Rd
Portage, IN 46368
Phone (219) 364-3000
85 E US Highway 6
Valparaiso, IN 46383
Phone (219) 983-5743
1305 N Elm St
Henderson, KY 42420
Phone (270) 827-7100
1413 N Elm St
Ste 204
Henderson, KY 42420
Phone (270) 830-9973
4604 US Highway 60 W
Morganfield, KY 42437
Phone (270) 389-5000
3010 15th Ave S
Great Falls, MT 59405
Phone (406) 771-3095
1509 29th St S
Great Falls, MT 59405
Phone (406) 771-3500
1101 26th St S
Fl 5
Great Falls, MT 59405
Phone (406) 455-2132
1101 26th St S
Great Falls, MT 59405
Phone (406) 455-4690
7900 Ranch Road 1826
Austin, TX 78737
Phone (512) 324-5305
200 S Geneva St
Breckenridge, TX 76424
Phone (254) 559-2241
2615 Southwest Fwy
Ste 140
Houston, TX 77098
Phone (713) 441-2779
6001 Kyle Pkwy
Kyle, TX 78640
Phone (512) 504-5000
100 Medical Pkwy
Lakeway, TX 78738
Phone (512) 206-8100
1310 E League City Pkwy
League City, TX 77573
Phone (346) 427-5050
11525 Broadway St
Pearland, TX 77584
Phone (713) 363-8020
200 S Interstate 35
Pearsall, TX 78061
Phone (888) 250-2326
4103 N Loop 1604 W
San Antonio, TX 78249
Phone (210) 572-8415
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 04558 | KY | |
| Hospitalist Physician | 208M00000X | 52575 | MT | |
| Family Medicine Physician | 207Q00000X | 52575 | MT | Yes |
Addresses
Primary practice location
1101 26TH St S
Great Falls, MT 59405
Mailing address
1101 26TH St S
Great Falls, MT 59405
Phone (406) 731-8888
Other providers in Great Falls, MT
- Matthew Burgess Martin
- Olivia Dawn Martin
- Traci Lynn Martin
- Delana Nicole Martinez
- Jessica Elaine Martinez
- Ali Marzooq
- Michael Lee Mason
- Christine Masters
- Marilyn Kae Mathern
- Meghan Mathes
All providers in Great Falls, MT · Family Medicine Physician in Montana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 28, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.