Active NPI
Humberto D Martinez, MD
- Surgery Physician
- Las Vegas, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- G52422
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, NM
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
| Procedure | Number of procedures |
|---|---|
| Hernia repair - groin (open) | 1-10 |
| Removal of skin lesions | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 52422 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dimmit Regional Hospital | Current | Accepting new patients | |
| Los Alamos Physician Practices LLC | Current | Accepting new patients | |
| DHHS, PHS, Naihs, Shiprock Hospital | Current | Accepting new patients | |
| DHHS, PHS, Naihs, Shiprock Hospital | Current | Accepting new patients | |
| Dimmit Regional Hospital | Current | Accepting new patients | |
| Los Alamos Physician Practices, LLC | Surgery | Current | 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
- https://fhir-myrecord.cerner.com/r4/bfa557fc-696e-49f4-8d78-7cdfe1e82721/
- hmartine@yourcarecommunity.org
- https://fhir-usa.unify.chbase.com/org/dimmit-a3ff579f
- 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.
-
- Family Medicine Physician
- Los Alamos, NM
- NPI 1750330510
-
dba Northern Navajo Medical Center
- General Acute Care Hospital
- Shiprock, NM
- NPI 1780639971
TX
-
- Emergency Medicine Physician
- Carrizo Springs, TX
- NPI 1164774253
-
dba Los Alamos General Surgery Clinic
- Surgery Physician
- Los Alamos, NM
- NPI 1801075783
-
- General Acute Care Hospital
- Teecnospos, AZ
- NPI 1477615789
-
- Rural Health Clinic/Center
- Carrizo Springs, TX
- NPI 1568082477
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Los Alamos Medical Center
- Rural Acute Care Hospital
- Los Alamos, NM
- NPI 1285701623
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.