Individual provider Active NPI

Humberto D Martinez, MD

  • Surgery Physician
  • Las Vegas, NM
National Provider Identifier
1659420560
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
G52422 Issued in CA
Practice address
105 Mills Ave Ste 200
Las Vegas, NM 87701-4169
Phone
(505) 426-3795
Fax
(505) 368-7011
NPI assigned
Jan 9, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X G52422 CA Primary
Specialist 174400000X G52422 CA

Addresses

Primary practice location

105 Mills Ave Ste 200
Las Vegas, NM 87701-4169

Mailing address

105 Mills Ave Ste 200
Las Vegas, NM 87701-4169
Phone (505) 426-3795

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NM2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180709001543 TX Practitioner - General SurgeryPractitioner - Surgical Oncology 3274595673 Reassigns benefits to 2 organizations
I20230504000888 NM Practitioner - General Surgery 3274595673 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of California, Geffen School of Medicine, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1302 Calle de la Merced
Suite E
Espanola, NM 87532-2630
Phone (505) 753-9292

3917 W Rd
Suite 125
Los Alamos, NM 87544-2275
Phone (505) 661-9533

3917 W Rd
Suite 137
Los Alamos, NM 87544-5307
Phone (505) 661-9526

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair - groin (open)1-10
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
52422CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dimmit Regional Hospital CurrentSince Jul 1, 2024 Accepting new patients
Los Alamos Physician Practices LLC CurrentSince Mar 3, 2025 Accepting new patients
DHHS, PHS, Naihs, Shiprock Hospital CurrentSince Jul 24, 2018 Accepting new patients
DHHS, PHS, Naihs, Shiprock Hospital CurrentSince Jul 24, 2018 Accepting new patients
Dimmit Regional Hospital CurrentSince Jul 1, 2024 Accepting new patients
Los Alamos Physician Practices, LLC Surgery CurrentSince Mar 3, 2025 Accepting new patients

Locations

3917 West Rd
Ste 139
Los Alamos, NM 87544
Phone (505) 661-3030

3917 West Rd
Ste 200
Los Alamos, NM 87544
Phone (505) 309-0870

3917 West Rd
Ste 250
Los Alamos, NM 87544
Phone (505) 661-4147

330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780

704 Hospital Dr
Carrizo Springs, TX 78834
Phone (830) 876-2424

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/bfa557fc-696e-49f4-8d78-7cdfe1e82721/
  • Direct secure messaging: hmartine@yourcarecommunity.org
  • FHIR API: https://fhir-usa.unify.chbase.com/org/dimmit-a3ff579f
  • Direct secure messaging: humberto.martinez.1@19849.direct.athenahealth.com

Organizations & group practices 6

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": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1659420560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 MILLS AVE STE 200",
            "city": "LAS VEGAS",
            "state": "NM",
            "postal_code": "877014169",
            "telephone_number": "505-426-3795",
            "fax_number": "505-425-2653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 MILLS AVE STE 200",
            "city": "LAS VEGAS",
            "state": "NM",
            "postal_code": "877014169",
            "telephone_number": "505-426-3795",
            "fax_number": "505-368-7011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "HUMBERTO",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-09",
        "last_updated": "2023-03-07",
        "certification_date": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "G52422",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G52422",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NM

Sources for this page

Verify at the official NPI Registry.