Individual provider Active NPI

Enrique Stanley Martinez Ona, M.D.

  • Family Medicine Physician
  • Surprise, AZ
National Provider Identifier
1720202211
Registry record updated Sep 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5017 Issued in NE
Practice address
13991 W Grand Ave Ste 105
Surprise, AZ 85374-3065
Phone
(623) 455-7800
Fax
(234) 557-8306
NPI assigned
Apr 13, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 5017 NE Primary

Addresses

Primary practice location

13991 W Grand Ave Ste 105
Surprise, AZ 85374-3065

Mailing address

PO Box 10880
Prescott, AZ 86304-0880
Phone (928) 759-5987

Other identifiers 3

IdentifierTypeStateIssuer
30024OtherNEBLUE CROSS BLUE SHIELD OF NEBRASKA
10025691800MedicaidNE
099588007OtherNEMEDICARE WPS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20100915000009 AZ Practitioner - Family Practice 6305931197 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Honorhealth Medical Group, LLCGroup PAC ID 1557274057, 338 clinicians

Practice addresses (Care Compare)

13991 W Grand Ave
Suite 105
Surprise, AZ 85374-3065
Phone (800) 233-3264

18404 N Tatum Blvd
Suite 101
Phoenix, AZ 85032-1511
Phone (602) 992-1900

6220 W Bell Rd
Glendale, AZ 85308-3896

Hospital & facility affiliations

  • Banner Home Care-Arizona Home health agency, Mesa, AZ, CCN 037015

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
5017NEMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Squaw Peak Family Physicians PC Family Medicine Current Accepting new patients
Cigna Healthcare of Arizona, Inc. CurrentSince Feb 27, 2017 Accepting new patients
Cigna Healthcare of Arizona, Inc CurrentSince Feb 27, 2017 Accepting new patients
Honorhealth Medical Group, LLC Family Medicine CurrentSince Jan 1, 2026 Accepting new patients
Honorhealth Medical Group, LLC Family Medicine CurrentSince Jan 1, 2026 Accepting new patients
Alegent Creighton Clinic Family Medicine Past Accepting new patients
Faith Regional Physician Services, LLC Past Accepting new patients
Community MRI Services, LLC PastSince Apr 30, 2003 Accepting new patients
Faith Regional Physician Services, LLC Family Medicine PastSince Dec 28, 2015 Accepting new patients
Alegent Creighton Clinic Family Medicine Past Accepting new patients

Locations

3648 W Anthem Way
Ste A100
Anthem, AZ 85086
Phone (623) 434-6444

4712 E Dynamite Blvd
Cave Creek, AZ 85331
Phone (480) 342-8711

6220 W Bell Rd
Ste 130
Glendale, AZ 85308
Phone (602) 547-7348

10230 W Happy Valley Pkwy
Ste 100C
Peoria, AZ 85383
Phone (623) 561-3030

9069 W Thunderbird Rd
Peoria, AZ 85381
Phone (623) 876-2800

18404 N Tatum Blvd
Ste 101
Phoenix, AZ 85032
Phone (602) 992-1900

9327 N 3rd St
Ste 100
Phoenix, AZ 85020
Phone (602) 371-3100

1610 W Glendale Ave
#128
Phoenix, AZ 85021
Phone (623) 780-1999

10200 N 92nd St
Ste 200
Scottsdale, AZ 85258
Phone (480) 314-2288

8888 E Raintree Dr
Fl 3
Scottsdale, AZ 85260

13991 W Grand Ave
Ste 105
Surprise, AZ 85374
Phone (623) 455-7800

Interoperability endpoints

  • Direct secure messaging: eona10206@evernorth.direct-ci.com

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1176422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726617600000",
    "number": "1720202211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10880",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863040880",
            "telephone_number": "928-759-5987",
            "fax_number": "928-458-2039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13991 W GRAND AVE STE 105",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853743065",
            "telephone_number": "623-455-7800",
            "fax_number": "234-557-8306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONA",
        "first_name": "ENRIQUE",
        "middle_name": "STANLEY MARTINEZ",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-13",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "5017",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF NEBRASKA",
            "identifier": "30024",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025691800",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE WPS",
            "identifier": "099588007",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Surprise, AZ

Sources for this page

Verify at the official NPI Registry.