Individual provider Active NPI

Jake Cordell Martinez, DO

  • Clinical Cardiac Electrophysiology Physician
  • Mesa, AZ
National Provider Identifier
1699295188
Registry record updated Aug 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
12038 Issued in AZ
Practice address
1520 S Dobson Rd Ste 203
Mesa, AZ 85202-4726
Phone
(807) 337-5354
Fax
(480) 896-3374
NPI assigned
Jun 26, 2017
Last updated
Aug 26, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Cardiac Electrophysiology Physician 207RC0001X 12038 AZ Primary

Addresses

Primary practice location

1520 S Dobson Rd Ste 203
Mesa, AZ 85202-4726

Mailing address

1520 S Dobson Rd Ste 203
Mesa, AZ 85202-4726
Phone (807) 337-5354

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, AZ2 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
I20220112000524 TX Practitioner - Internal Medicine 4284058884 Reassigns benefits to 1 organization
I20220210000623 AZ Practitioner - Cardiac ElectrophysiologyPractitioner - Critical Care (Intensivists)Practitioner - Internal Medicine 4284058884 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiac ElectrophysiologyAlso: Internal Medicine
Education
Kansas City University of Med & Biosciences, College of Osteo Med, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

6424 E Broadway Rd
Suite 105
Mesa, AZ 85206-1750
Phone (480) 684-6487

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair11

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12038AZMDChild Mental Illness Respite Care

Practice roles

OrganizationSpecialtyStatusNew patients
Dhew Ind HLTH SV HLTH SVS & MNTL HLTH Adm CurrentSince Nov 4, 2021 Accepting new patients
Banner Physician Specialists Arizona LLC Current Accepting new patients
Banner Physician Specialists Arizona LLC CurrentSince Jul 1, 2025 Accepting new patients
Dhew Ind HLTH SV HLTH SVS & MNTL HLTH Adm CurrentSince Nov 4, 2021 Accepting new patients
Banner - University Hospital Based Physicians LLC CurrentSince Nov 5, 2021 Accepting new patients
Banner - University Hospital Based Physicians LLC CurrentSince Nov 5, 2021 Accepting new patients
Banner Physician Specialists Arizona LLC CurrentSince Jul 1, 2025 Accepting new patients

Locations

1125 S Alma School Rd
Ste 310
Chandler, AZ 85286
Phone (480) 684-6157

1520 S Dobson Rd
Ste 203
Mesa, AZ 85202
Phone (480) 412-8080

6424 E Broadway Rd
Ste 105
Mesa, AZ 85206
Phone (480) 684-6487

9165 W Thunderbird Rd
Ste 200
Peoria, AZ 85381
Phone (623) 285-1120

1111 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-2000

4212 N 16th St
Phoenix, AZ 85016
Phone (602) 248-4187

10401 W Thunderbird Blvd
Sun City, AZ 85351
Phone (623) 815-7690

Organizations & group practices 7

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.

Hospital & facility affiliations 3

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": "1498435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756166400000",
    "number": "1699295188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1520 S DOBSON RD STE 203",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852024726",
            "telephone_number": "807-337-5354",
            "fax_number": "480-896-3374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 S DOBSON RD STE 203",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852024726",
            "telephone_number": "807-337-5354",
            "fax_number": "480-896-3374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "JAKE",
        "middle_name": "CORDELL",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-26",
        "last_updated": "2025-08-26",
        "certification_date": "2025-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "AZ",
            "license": "12038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.