Individual provider Active NPI

Martin Alan Boyd

  • Obstetrics & Gynecology Physician
  • Kingsville, TX
National Provider Identifier
1669517769
Registry record updated Apr 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
M5646 Issued in TX
Practice address
1311 General Cavazos Blvd
Suite 305
Kingsville, TX 78363-7129
Phone
(361) 592-2223
Fax
(361) 592-1967
NPI assigned
Feb 20, 2007
Last updated
Apr 12, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X M5646 TX Primary

Addresses

Primary practice location

1311 General Cavazos Blvd
Suite 305
Kingsville, TX 78363-7129

Mailing address

919 Hidden RDG
Irving, TX 75038-3813
Phone (469) 282-2711

Other identifiers 6

IdentifierTypeStateIssuer
P02601725OtherTXMCRR
188839803MedicaidTX
1L4970OtherTXMEDICARE
188839801MedicaidTX
8X7949OtherTXBCBS
188839802MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20070918000292 TX Practitioner - Obstetrics/Gynecology 3375637697 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Texas Medical Branch at Galveston, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Christus Trinity Clinic TexasGroup PAC ID 3072426741, 1,540 clinicians

Practice addresses (Care Compare)

1311 E General Cavazos Blvd
Kingsville, TX 78363-7123

620 S Fleishel Ave
Christus Trinity Clinic
Tyler, TX 75701-2041
Phone (903) 606-4900

630 S Fleishel Ave
Tyler, TX 75701-2041
Phone (903) 606-5560

700 Flournoy Rd
Suite 2a
Alice, TX 78332-4088
Phone (361) 664-1417

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Community Action Corporation of South Texas Obstetrics & Gynecology Current Accepting new patients
Christus Trinity Clinic Texas Obstetrics & Gynecology CurrentSince Jan 1, 2021 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Jan 1, 2021 Accepting new patients
Community Action Corporation of South Texas CurrentSince Sep 1, 2024 Accepting new patients
Ut Physicians Obstetrics & Gynecology PastSince Apr 1, 2021 Accepting new patients
Christus Spohn Health System Corporation Past Accepting new patients
Ut Physicians PastSince Apr 1, 2021 Accepting new patients

Locations

204 E 1st St
Alice, TX 78332
Phone (361) 664-0145

700 Flournoy Rd
Ste 2A
Alice, TX 78332
Phone (361) 664-1417

1276 S Peachtree St
Jasper, TX 75951
Phone (409) 384-5701

1311 E General Cavazos Blvd
Ste 203
Kingsville, TX 78363
Phone (361) 592-2223

1311 Gen Cvazos Blvd
Kingsville, TX 78363
Phone (361) 595-1661

1311 Gen Cvazos Blvd
Ste 305
Kingsville, TX 78363
Phone (361) 592-2223

630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888

Interoperability endpoints

  • Direct secure messaging: mboyd208312@christushealth.direct-ci.net

Organizations & group practices 8

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": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618185600000",
    "number": "1669517769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "919 HIDDEN RDG",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750383813",
            "telephone_number": "469-282-2711",
            "fax_number": "469-282-2609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1311 GENERAL CAVAZOS BLVD",
            "address_2": "SUITE 305",
            "city": "KINGSVILLE",
            "state": "TX",
            "postal_code": "783637129",
            "telephone_number": "361-592-2223",
            "fax_number": "361-592-1967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYD",
        "first_name": "MARTIN",
        "middle_name": "ALAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-20",
        "last_updated": "2021-04-12",
        "certification_date": "2021-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "M5646",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCRR",
            "identifier": "P02601725",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "188839803",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "1L4970",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "188839801",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8X7949",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "188839802",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingsville, TX

Sources for this page

Verify at the official NPI Registry.