Individual provider Active NPI

George B Martinez Jr., M.D.

  • Internal Medicine Physician
  • Wichita, KS
National Provider Identifier
1528078086
Registry record updated May 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
04-31914 Issued in KS
Practice address
5500 E Kellogg Dr
Robert J.Dole VA Medical Center
Wichita, KS 67218-1607
Phone
(316) 685-2221
NPI assigned
Aug 8, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 29, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 04-31914 KS Primary

Addresses

Primary practice location

5500 E Kellogg Dr
Robert J.Dole VA Medical Center
Wichita, KS 67218-1607

Mailing address

5500 E Kellogg Dr
Robert J.Dole VA Medical Center
Wichita, KS 67218-1607
Phone (316) 685-2221

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20101119000250 KS Practitioner - Internal Medicine 3577759323 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Kansas School of Med (KC/Wich/Sal), 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carepoint Hospital Medicine Kansas LLCGroup PAC ID 5294018057, 46 clinicians

Practice addresses (Care Compare)

550 N Hillside St
Wichita, KS 67214-4910
Phone (316) 962-2000

Hospital & facility affiliations

  • Wesley Medical Center Hospital, Wichita, KS, CCN 170123

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04-31914KSMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carepoint Hospital Medicine Kansas LLC CurrentSince Jan 16, 2017 Accepting new patients
Ascension Via Christi Hospitals Wichita Inc. Past Accepting new patients
Carepoint Hospital Medicine Kansas LLC PastSince Jun 27, 2021 Accepting new patients

Locations

550 N Hillside St
Wichita, KS 67214
Phone (316) 688-2239

2610 N Woodlawn Blvd
Wichita, KS 67220
Phone (316) 684-3838

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": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212019200000",
    "number": "1528078086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 E KELLOGG DR",
            "address_2": "ROBERT J.DOLE VA MEDICAL CENTER",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672181607",
            "telephone_number": "316-685-2221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 E KELLOGG DR",
            "address_2": "ROBERT J.DOLE VA MEDICAL CENTER",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672181607",
            "telephone_number": "316-685-2221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "GEORGE",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-08",
        "last_updated": "2008-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KS",
            "license": "04-31914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.