Individual provider Active NPI

Luis Martinez, MD

  • Internal Medicine Physician
  • Fort Worth, TX
National Provider Identifier
1609893288
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
H0606 Issued in TX
Practice address
6713 Morning Dew Dr
Fort Worth, TX 76132-1145
Phone
(817) 296-1614
NPI assigned
Jul 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X H0606 TX
Internal Medicine Physician 207R00000X H0606 TX Primary

Addresses

Primary practice location

6713 Morning Dew Dr
Fort Worth, TX 76132-1145

Mailing address

6713 Morning Dew Dr
Fort Worth, TX 76132-1145
Phone (817) 296-1614

Other practice location 1

2821 Lackland Road
Suite 216
Fort Worth, TX 76116-4193
Phone (817) 378-3640

Other identifiers 2

IdentifierTypeStateIssuer
044117203MedicaidTX
P00352750OtherRAILROAD

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
I20050128000477 TX Practitioner - Internal MedicinePractitioner - Critical Care (Intensivists)Practitioner - Emergency MedicinePractitioner - Hospitalist 6901856749 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Critical Care (Intensivists), Emergency Medicine, Hospitalist
Education
University of Texas Southwestern Medical School at Dallas, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ipc Healthcare Services of Texas PLLCGroup PAC ID 3971824939, 184 clinicians

Practice addresses (Care Compare)

901 W Ben White Blvd
Austin, TX 78704-6903
Phone (512) 816-7102

Hospital & facility affiliations

  • St David'S South Austin Medical Center Hospital, Austin, TX, CCN 450713

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lonestar Hospital Medicine Associates, PA Internal Medicine CurrentSince Jun 1, 2018 Accepting new patients
Hospitalist Medicine Physicians of Texas, PLLC Internal Medicine CurrentSince May 1, 2017 Accepting new patients
Cogent Healthcare of Texas, PA Internal Medicine CurrentSince Feb 1, 2019 Accepting new patients
Ipc Healthcare Services of Texas, PLLC Internal Medicine CurrentSince Oct 1, 2018 Accepting new patients
Lonestar Pat Associates PA Internal Medicine CurrentSince Sep 29, 2020 Accepting new patients

Locations

601 E 15th St
Austin, TX 78701
Phone (512) 324-7868

12221 N Mopac Expy
Austin, TX 78758
Phone (512) 901-2530

901 W Ben White Blvd
Austin, TX 78704
Phone (512) 342-2382

1201 W 38th St
Austin, TX 78705
Phone (512) 324-1058

3201 W State Highway 22
Corsicana, TX 75110
Phone (903) 654-6800

1301 Pennsylvania Ave
Ft Worth, TX 76104
Phone (817) 250-2000

1500 S Main St
Ft Worth, TX 76104
Phone (817) 921-3431

2000 Scenic Dr
Georgetown, TX 78626
Phone (512) 863-2117

18951 N Memorial Dr
Humble, TX 77338
Phone (281) 319-8409

12412 Judson Rd
Live Oak, TX 78233
Phone (210) 646-5000

11800 Astoria Blvd
Pearland, TX 77089
Phone (281) 929-6100

3150 Horizon Rd
Rockwall, TX 75032
Phone (469) 697-1000

2400 Round Rock Ave
Round Rock, TX 78681
Phone (512) 255-6066

7700 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-5564

1310 McCullough Ave
San Antonio, TX 78212
Phone (210) 208-2200

6700 W Interstate 10
San Antonio, TX 78201
Phone (210) 575-8289

111 Dallas St
San Antonio, TX 78205
Phone (210) 297-7000

1139 E Sonterra Blvd
San Antonio, TX 78258
Phone (210) 638-2000

8026 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-8110

2600 Saint Michael Dr
Texarkana, TX 75503
Phone (903) 614-1000

6801 Emmett F Lowry Expy
Texas City, TX 77591
Phone (409) 938-5095

Organizations & group practices 5

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 1

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": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1609893288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6713 MORNING DEW DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761321145",
            "telephone_number": "817-296-1614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6713 MORNING DEW DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761321145",
            "telephone_number": "817-296-1614"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2821 Lackland Road",
            "address_2": "Suite 216",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761164193",
            "country_code": "US",
            "telephone_number": "817-378-3640",
            "fax_number": "817-740-8516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "LUIS",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "TX",
            "license": "H0606",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "H0606",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "044117203",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "P00352750",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.