Active NPI
Raquel Rodriguez Martinez
- Family Medicine Physician
- West Allis, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 82915
- Practice address
- 6609 W Greenfield Ave
West Allis, WI 53214-4958 - Phone
- (414) 257-8577
- NPI assigned
- Apr 7, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 324363 | NY | |
| Family Medicine Physician | 207Q00000X | DR.0071534 | CO | |
| Family Medicine Physician | 207Q00000X | A157142 | CA | |
| Family Medicine Physician | 207Q00000X | 1014782 | MA | |
| Family Medicine Physician | 207Q00000X | ME160760 | FL | |
| Family Medicine Physician | 207Q00000X | U3339 | TX | |
| Family Medicine Physician | 207Q00000X | MD22062 | HI | |
| Family Medicine Physician | 207Q00000X | 82915 | WI | Primary |
Addresses
Primary practice location
6609 W Greenfield Ave
West Allis, WI 53214-4958
Mailing address
PO Box 735044
Chicago, IL 60673-5044
Phone (800) 326-2250
Other practice location 1
4733 W Sunset Blvd Fl 3
Los Angeles, CA 90027-6021
Phone (760) 650-2886
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100262593 | Medicaid | WI |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rrodriguezmartinez393331@direct.myadvocateaurora.org | Direct | |
| FHIR URL | https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, HI, FL, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6609 W Greenfield Ave
West Allis, WI 53214-4958
Phone (414) 257-8500
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 324363 | NY | MD | Licensed Practical Nurse |
| A157142 | CA | MD | Family Medicine Physician |
| DR.0071534 | CO | MD | Family Medicine Physician |
| ME160760 | FL | MD | Family Medicine Physician |
| MD22062 | HI | MD | Family Medicine Physician |
| 1014782 | MA | MD | Family Medicine Physician |
| U3339 | TX | MD | Family Medicine Physician |
| 82915 | WI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hawaii Permanente Medical Group Inc | Current | Accepting new patients | |
| Aurora Advanced Healthcare, Inc. | Family Medicine | Current | Accepting new patients |
| Lakeshore Medical Clinic, LLC | Family Medicine | Current | Accepting new patients |
| Raquel Rodriguez Martinez MD PC | Family Medicine | Current | Accepting new patients |
| Aurora Medical Group, Inc. | Current | Accepting new patients | |
| University of California SFGH Medical Group | Family Medicine | Current | Accepting new patients |
| University of California SFGH Medical Group | Current | Accepting new patients | |
| Aurora Advanced Healthcare Inc | Current | Accepting new patients | |
| 525 Medical Group of New Jersey PC | Family Medicine | Current | Accepting new patients |
| University of California SFGH Medical Group | Current | Accepting new patients | |
| Aurora Medical Group, Inc. | Family Medicine | Current | Accepting new patients |
Locations
285 N El Camino Real
Encinitas, CA 92024
Phone (619) 330-9500
1001 Potrero Ave
Bldg 80
San Francisco, CA 94110
Phone (628) 206-8610
1001 Potrero Ave
San Francisco, CA 94110
Phone (415) 206-2305
711 Kapiolani Blvd
Honolulu, HI 96813
Phone (808) 432-5312
3288 Moanalua Rd
Honolulu, HI 96819
Phone (808) 265-9205
94-1480 Moaniani St
Waipahu, HI 96797
Phone (808) 432-2000
3003 W Good Hope Rd
Glendale, WI 53209
Phone (414) 352-3100
12203 N Corporate Pkwy
Mequon, WI 53092
Phone (262) 387-8200
1020 N 12th St
Milwaukee, WI 53233
Phone (414) 219-3056
S74W16775 Janesville Rd
Muskego, WI 53150
Phone (414) 422-4747
2000 E Layton Ave
St Francis, WI 53235
Phone (414) 744-7880
6609 W Greenfield Ave
West Allis, WI 53214
Phone (414) 257-8500
Organizations & group practices 11
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.
-
- Certified Registered Nurse Anesthetist
- Milwaukee, WI
- NPI 1427271378
Family Medicine
-
- Family Medicine Physician
- Milwaukee, WI
- NPI 1265629133
-
- Family Medicine Physician
- St Francis, WI
- NPI 1003861188
-
- Health Maintenance Organization
- Honolulu, HI
- NPI 1710945969
-
dba UCSF SFGH Medical Group Dept of Anesthesia
- Anesthesiology Physician
- San Francisco, CA
- NPI 1366417420
-
dba Empirical Health
- Family Medicine Physician
- New York, NY
- NPI 1063280634
-
dba 525 Medical Group of California, P.C.
- Family Medicine Physician
- Encinitas, CA
- NPI 1366129553
-
- Durable Medical Equipment & Medical Supplies
- Summit, WI
- NPI 1477186633
-
- Durable Medical Equipment & Medical Supplies
- Oshkosh, WI
- NPI 1326858044
-
dba UCSF SFGH Medical Group Division of Vascular Surgery
- Vascular Surgery Physician
- San Francisco, CA
- NPI 1033913959
-
dba UCSF SFGH Medical Group Dept of Family Practice
- Family Medicine Physician
- San Francisco, CA
- NPI 1174598296
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459987200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724889600000",
"number": "1700240603",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 735044",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606735044",
"telephone_number": "800-326-2250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6609 W GREENFIELD AVE",
"city": "WEST ALLIS",
"state": "WI",
"postal_code": "532144958",
"telephone_number": "414-257-8577"
}
],
"practiceLocations": [
{
"address_1": "4733 W Sunset Blvd Fl 3",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900276021",
"country_code": "US",
"telephone_number": "760-650-2886",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RODRIGUEZ MARTINEZ",
"first_name": "RAQUEL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-04-07",
"last_updated": "2024-08-29",
"certification_date": "2024-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "324363",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CO",
"license": "DR.0071534",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A157142",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MA",
"license": "1014782",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME160760",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "U3339",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "HI",
"license": "MD22062",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WI",
"license": "82915",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100262593",
"state": "WI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rrodriguezmartinez393331@direct.myadvocateaurora.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "6609 W Greenfield Ave",
"city": "West Allis",
"state": "WI",
"country_code": "US",
"postal_code": "532144958",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
"affiliation": "N",
"address_1": "6609 W Greenfield Ave",
"city": "West Allis",
"state": "WI",
"country_code": "US",
"postal_code": "532144958",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in West Allis, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2024; 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.