Individual provider Active NPI

Jorge Martinez, M.D.

  • Family Medicine Physician
  • Donna, TX
National Provider Identifier
1508864729
Registry record updated Jun 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
H8234 Issued in TX
Practice address
2010 E Highway 83
Donna, TX 78537-2929
Phone
(956) 461-6666
Fax
(956) 461-6670
NPI assigned
Jul 12, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2019

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 H8234 TX Primary

Addresses

Primary practice location

2010 E Highway 83
Donna, TX 78537-2929

Mailing address

PO Box 3128
McAllen, TX 78502-3128
Phone (956) 464-2402

Other practice location 1

101 S Broadway
Elsa, TX 78543
Phone (956) 262-1304

Other identifiers 1

IdentifierTypeStateIssuer
115832105MedicaidTX

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
I20110524000153 TX Practitioner - Family Practice 2163608316 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Texas Medical School at Houston, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Donna Medical Clinic, PLLCGroup PAC ID 1153216734, 35 clinicians

Practice addresses (Care Compare)

2010 E Business Hwy 83
Donna Day and Night Clinic
Donna, TX 78537-3500
Phone (956) 461-6666

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Donna Medical Clinic, PLLC Family Medicine CurrentSince Jun 3, 2013 Accepting new patients
Jose F. Pena, MD & Associates PA Past Accepting new patients
Nuestra Clinica del Valle, Inc. Past Accepting new patients

Locations

307 N Salinas Blvd
Donna, TX 78537
Phone (956) 464-2402

2010 E Business Highway 83
Donna, TX 78537
Phone (956) 461-6666

Organizations & group practices 3

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 2

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": "1121126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559606400000",
    "number": "1508864729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3128",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785023128",
            "telephone_number": "956-464-2402",
            "fax_number": "956-464-4709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 E HIGHWAY 83",
            "city": "DONNA",
            "state": "TX",
            "postal_code": "785372929",
            "telephone_number": "956-461-6666",
            "fax_number": "956-461-6670"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 S Broadway",
            "address_purpose": "LOCATION",
            "city": "Elsa",
            "state": "TX",
            "postal_code": "78543",
            "country_code": "US",
            "telephone_number": "956-262-1304",
            "fax_number": "956-262-3929",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "JORGE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-12",
        "last_updated": "2019-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "H8234",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "115832105",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Donna, TX

Sources for this page

Verify at the official NPI Registry.