Individual provider Active NPI

Bo Anthony Martinez, AUD

  • Audiologist
  • El Paso, TX
National Provider Identifier
1659895365
Registry record updated Oct 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
80998 Issued in TX
Practice address
5505 N Mesa St Ste 3
El Paso, TX 79912-5464
Phone
(915) 234-2454
NPI assigned
Aug 3, 2017
Last updated
Oct 6, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 80998 TX Primary

Addresses

Primary practice location

5505 N Mesa St Ste 3
El Paso, TX 79912-5464

Mailing address

2001 Calle de Ninos
Las Cruces, NM 88005-3298
Phone (719) 924-3805

Other practice location 1

5323 Harry Hines Blvd
Dallas, TX 75390-7201
Phone (469) 291-2235

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170927003316 TX Practitioner - Qualified Audiologist 9638443757 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Organ Mountain AudiologyGroup PAC ID 7214460914, 2 clinicians

Practice addresses (Care Compare)

5505 N Mesa St
Suite 3
El Paso, TX 79912-5464
Phone (915) 234-2454

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
80998TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
University of Texas Southwestern Medical Center at Dallas CurrentSince Sep 5, 2017 Accepting new patients
The University of Texas Southwestern Medical Center at Dallas CurrentSince Sep 5, 2017 Accepting new patients
Organ Mountain Audiology Audiologist CurrentSince Sep 21, 2024 Accepting new patients
University of Texas Southwestern Medical Center at Dallas Current Accepting new patients
Alamogordo Ear Nose & Throat - Facial Plastic Surgery PC PastSince Jul 12, 2021 Accepting new patients

Locations

3000 N Interstate 35
Denton, TX 76201
Phone (469) 303-3591

5505 N Mesa St
Ste 3
El Paso, TX 79912
Phone (719) 924-3805

600 S Main St
Ft Worth, TX 76104
Phone (817) 882-2400

420 E 6th St
Ste 202
Odessa, TX 79761
Phone (214) 648-9618

7601 Preston Rd
Ste P3600
Plano, TX 75024
Phone (469) 303-3000

5303 Harry Hines Blvd
Ut Southwest Medical Center, TX 75390
Phone (214) 645-2300

5323 Harry Hines Blvd
Ut Southwest Medical Center, TX 75390

Organizations & group practices 5

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": "1501718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728172800000",
    "number": "1659895365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 CALLE DE NINOS",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880053298",
            "telephone_number": "719-924-3805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5505 N MESA ST STE 3",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799125464",
            "telephone_number": "915-234-2454"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5323 Harry Hines Blvd",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "753907201",
            "country_code": "US",
            "telephone_number": "469-291-2235",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "BO",
        "middle_name": "ANTHONY",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-03",
        "last_updated": "2024-10-06",
        "certification_date": "2024-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "TX",
            "license": "80998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.