Organization Active NPI

Martinez Neurophysiology

  • Neurology Physician
  • Bartlett, TN
National Provider Identifier
1639687478
Registry record updated Sep 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
MARTINEZ NEUROPHYSIOLOGY
Practice address
6825 Summer Ave
Bartlett, TN 38134-4742
Phone
(901) 644-9688
Fax
(901) 425-9072
NPI assigned
Jan 15, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2024

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

Authorized official

Name
Jesus Felix Martinez, MDNPI 1194916882
Title
Owner/Authorized Official
Phone
(901) 821-0338

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X Primary

Addresses

Primary practice location

6825 Summer Ave
Bartlett, TN 38134-4742

Mailing address

PO Box 381723
Germantown, TN 38183-1723
Phone (901) 644-9688

Other practice location 1

6853 Fox Horse Cv W
Memphis, TN 38141-7335
Phone (901) 351-4537

Other practice location 2

1265 Union Ave
Memphis, TN 38104-3415
Phone (901) 351-4537

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180808002065 TN Part B Supplier - Clinic/Group Practice 1355699372 Receives reassigned benefits from 1 practitioner
Practice locations: Bartlett, TN; Memphis, TN

National Provider Directory

National Provider Directory

Locations

6825 Summer Ave
Bartlett, TN 38134
Phone (901) 644-9688

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1515974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725926400000",
    "number": "1639687478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 381723",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381831723",
            "telephone_number": "901-644-9688",
            "fax_number": "901-425-9072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6825 SUMMER AVE",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381344742",
            "telephone_number": "901-644-9688",
            "fax_number": "901-425-9072"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6853 Fox Horse Cv W",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381417335",
            "country_code": "US",
            "telephone_number": "901-351-4537",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1265 Union Ave",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381043415",
            "country_code": "US",
            "telephone_number": "901-351-4537",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MARTINEZ NEUROPHYSIOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-15",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "JESUS",
        "authorized_official_middle_name": "FELIX",
        "authorized_official_title_or_position": "OWNER/AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "901-821-0338",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bartlett, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.