Active NPI
Martin J Arisco, MD
- Ophthalmology Physician
- Baytown, TX
National Provider Identifier
1619904398
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- D2343
- Practice address
- 1025 Birdsong Dr Ste a
Baytown, TX 77521-3205 - Phone
- (281) 422-2020
- Fax
- (281) 422-4959
- NPI assigned
- Jun 27, 2006
- Last updated
- Mar 18, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | D2343 | TX | Primary |
Addresses
Primary practice location
1025 Birdsong Dr Ste a
Baytown, TX 77521-3205
Mailing address
4301 Garth Rd
Suite 100
Baytown, TX 77521-3153
Phone (281) 422-2020
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 684067 | Other | TX | AETNA |
| 1619904398 | Medicaid | TX | |
| 180022812 | Other | TX | RR MEDICARE |
| 123607702 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 89.82 of 100
- Quality
- 81.48
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clear Lake Eye Center LLP | Past | Accepting new patients |
Interoperability endpoints
- marisco26271@directhoustonmethodist.org
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710720000000",
"number": "1619904398",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4301 GARTH RD",
"address_2": "SUITE 100",
"city": "BAYTOWN",
"state": "TX",
"postal_code": "775213153",
"telephone_number": "281-422-2020",
"fax_number": "281-422-4959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1025 BIRDSONG DR STE A",
"city": "BAYTOWN",
"state": "TX",
"postal_code": "775213205",
"telephone_number": "281-422-2020",
"fax_number": "281-422-4959"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARISCO",
"first_name": "MARTIN",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-27",
"last_updated": "2024-03-18",
"certification_date": "2024-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "TX",
"license": "D2343",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "684067",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1619904398",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "180022812",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "123607702",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Baytown, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.