Individual provider Active NPI

Kevin R Martinez, M.D.

  • Interventional Pain Medicine Physician
  • Metairie, LA
National Provider Identifier
1700800828
Registry record updated Sep 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
025291 Issued in LA
Practice address
3798 Veterans Memorial Blvd Ste 510
Metairie, LA 70002-5837
Phone
(504) 454-0141
Fax
(504) 885-2465
NPI assigned
Jul 26, 2006
Last updated
Sep 4, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X 025291 LA Primary

Addresses

Primary practice location

3798 Veterans Memorial Blvd Ste 510
Metairie, LA 70002-5837

Mailing address

3798 Veterans Memorial Blvd Ste 200
Metairie, LA 70002-5837
Phone (504) 454-0141

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20050825000003 LA Practitioner - Interventional Pain ManagementPractitioner - Physical Medicine and Rehabilitation 5496786931 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain Management
Education
Louisiana State University School of Medicine in New Orleans, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern Brain and SpineGroup PAC ID 6507867082, 10 clinicians

Practice addresses (Care Compare)

3798 Veterans Memorial Blvd
Metairie, LA 70002-5837
Phone 50445401411185

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
025291LAMDInterventional Pain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Brain and Spine CurrentSince Dec 1, 2013 Accepting new patients
Neuromuscular Medical Association, LLC PastSince Jun 18, 2023 Accepting new patients

Locations

3798 Veterans Memorial Blvd
Ste 200
Metairie, LA 70002
Phone (504) 454-0141

4228 Houma Blvd
Ste 510
Metairie, LA 70006
Phone (504) 454-0141

4770 S I 10 Service Rd W
Ste 110
Metairie, LA 70001
Phone (504) 210-0890

Interoperability endpoints

  • Direct secure messaging: kevimart@sbs1823.srs-direct.com

Organizations & group practices 2

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 6

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": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756944000000",
    "number": "1700800828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3798 VETERANS MEMORIAL BLVD STE 200",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700025837",
            "telephone_number": "504-454-0141",
            "fax_number": "504-885-2465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3798 VETERANS MEMORIAL BLVD STE 510",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700025837",
            "telephone_number": "504-454-0141",
            "fax_number": "504-885-2465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "KEVIN",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2025-09-04",
        "certification_date": "2025-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "LA",
            "license": "025291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

Verify at the official NPI Registry.