Individual provider Active NPI

John Matthew Martin IV, M.D.

  • Dermatology Physician
  • San Antonio, TX
National Provider Identifier
1689808131
Registry record updated Feb 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
P6217 Issued in TX
Practice address
7950 Floyd Curl Drive
Suite 909
San Antonio, TX 78229
Phone
(210) 614-3575
Fax
(210) 692-7116
NPI assigned
May 13, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 17, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X P6217 TX Primary

Addresses

Primary practice location

7950 Floyd Curl Drive
Suite 909
San Antonio, TX 78229

Mailing address

7950 Floyd Curl Drive
Suite 909
San Antonio, TX 78229
Phone (210) 614-3575

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
I20160602001241 TX Practitioner - Dermatology 5890085930 Reassigns benefits to 1 organization
Practice locations: San Antonio, TX

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Texas Medical School at San Antonio, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Thushan N Desilva MD PLLCGroup PAC ID 1759650369, 3 clinicians

Practice addresses (Care Compare)

120 Old San Antonio Rd
Boerne, TX 78006-3413
Phone (830) 331-4150

Merit-based Incentive Payment System (MIPS)

Final score
97.71 of 100Reported as group
Quality
95.42
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
86.34 of 100Reported as individual
Quality
72.68
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision54
Removal of skin lesions2332
Skin biopsy523

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Thushan N Desilva MD PLLC Dermatology CurrentSince Jun 10, 2023 Accepting new patients
Sandra Dean Shriner MD PLLC PastSince Jun 10, 2023 Accepting new patients
Alasdair Goldstein MD PA Past Accepting new patients
Scott M Henslee,M.D.,P.a. PastSince Jul 1, 2002 Accepting new patients
Mark B Weinstein, M.D.,P.a. Dermatology Past Accepting new patients

Locations

120 Old San Antonio Rd
Boerne, TX 78006
Phone (210) 664-0222

Interoperability endpoints

  • Direct secure messaging: drjohnm@desilvaderm.emadirect.md

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1242172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487289600000",
    "number": "1689808131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7950 FLOYD CURL DRIVE",
            "address_2": "SUITE 909",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78229",
            "telephone_number": "210-614-3575",
            "fax_number": "210-692-7116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7950 FLOYD CURL DRIVE",
            "address_2": "SUITE 909",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78229",
            "telephone_number": "210-614-3575",
            "fax_number": "210-692-7116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "JOHN",
        "middle_name": "MATTHEW",
        "name_prefix": "Dr.",
        "name_suffix": "IV",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-05-13",
        "last_updated": "2017-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "P6217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.