Individual provider Active NPI

Jose De Jesus Martinez, MD

  • Internal Medicine Physician
  • McAllen, TX
National Provider Identifier
1649289935
Registry record updated Mar 7, 2019
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128a(1) exclusion effective Aug 20, 2024.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
M3636 Issued in TX
Practice address
3512 Buddy Owens Ave Ste 2
McAllen, TX 78504-5465
Phone
(956) 580-3350
Fax
(956) 580-7925
NPI assigned
Aug 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2019

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 M3636 TX Primary

Addresses

Primary practice location

3512 Buddy Owens Ave Ste 2
McAllen, TX 78504-5465

Mailing address

1905 El Mileno Dr
Palmhurst, TX 78573-1247
Phone (956) 580-3350

Other practice location 1

3512 Buddy Owens Ave
McAllen, TX 78504
Phone (956) 580-3350

Other identifiers 2

IdentifierTypeStateIssuer
P00797323OtherTXRR MEDICARE
8CG137OtherTXBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
M3636TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
McLennan County Hospitalist Services PA Internal Medicine PastSince Nov 8, 2020 Accepting new patients
Planet Med LP Internal Medicine PastSince Apr 15, 2005 Accepting new patients
Rio Grande Valley Emergency Physicians PLLC Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551916800000",
    "number": "1649289935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1905 EL MILENO DR",
            "city": "PALMHURST",
            "state": "TX",
            "postal_code": "785731247",
            "telephone_number": "956-580-3350",
            "fax_number": "956-580-7925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3512 BUDDY OWENS AVE STE 2",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785045465",
            "telephone_number": "956-580-3350",
            "fax_number": "956-580-7925"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3512 Buddy Owens Ave",
            "address_purpose": "LOCATION",
            "city": "McAllen",
            "state": "TX",
            "postal_code": "78504",
            "country_code": "US",
            "telephone_number": "956-580-3350",
            "fax_number": "956-580-7925",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "JOSE",
        "middle_name": "DE JESUS",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2019-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "M3636",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00797323",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8CG137",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McAllen, TX

Sources for this page

Verify at the official NPI Registry.