Active NPI
Jake Cordell Martinez, DO
- Clinical Cardiac Electrophysiology Physician
- Mesa, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Cardiac Electrophysiology Physician
- License
- 12038
- 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, 2025
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, AZ
- 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
- Cardiac Electrophysiology
- 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
- Banner Desert Medical Center
- Banner Ocotillo Medical Center
- Banner - University Medical Center Phoenix
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Pacemaker insertion or repair | 11 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12038 | AZ | MD | Child Mental Illness Respite Care |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dhew Ind HLTH SV HLTH SVS & MNTL HLTH Adm | Current | Accepting new patients | |
| Banner Physician Specialists Arizona LLC | Current | Accepting new patients | |
| Banner Physician Specialists Arizona LLC | Current | Accepting new patients | |
| Dhew Ind HLTH SV HLTH SVS & MNTL HLTH Adm | Current | Accepting new patients | |
| Banner - University Hospital Based Physicians LLC | Current | Accepting new patients | |
| Banner - University Hospital Based Physicians LLC | Current | Accepting new patients | |
| Banner Physician Specialists Arizona LLC | Current | 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.
-
- Multi-Specialty Clinic/Center
- Phoenix, AZ
- NPI 1821368218
-
- General Acute Care Hospital
- Phoenix, AZ
- NPI 1750751566
-
dba Phoenix Indian Medical Center
- Public Health or Welfare Agency
- Phoenix, AZ
- NPI 1083643738
TX
-
- Multi-Specialty Clinic/Center
- Phoenix, AZ
- NPI 1538879481
-
- Multi-Specialty Clinic/Center
- Phoenix, AZ
- NPI 1316228802
-
- Multi-Specialty Clinic/Center
- Page, AZ
- NPI 1366799355
-
dba Ak-Chin Clinic
- Public Health or Welfare Agency
- Maricopa, AZ
- NPI 1538043443
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Phoenix, AZ
- NPI 1841224870
-
- General Acute Care Hospital
- Mesa, AZ
- NPI 1720011810
-
dba Banner Ocotillo Medical Center
- General Acute Care Hospital
- Chandler, AZ
- NPI 1972139004
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2025; 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.