Active NPI
Enrique Stanley Martinez Ona, M.D.
- Family Medicine Physician
- Surprise, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 5017
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30024 | Other | NE | BLUE CROSS BLUE SHIELD OF NEBRASKA |
| 10025691800 | Medicaid | NE | |
| 099588007 | Other | NE | MEDICARE 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
Enrollment records 1
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
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
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.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5017 | NE | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Squaw Peak Family Physicians PC | Family Medicine | Current | Accepting new patients |
| Cigna Healthcare of Arizona, Inc. | Current | Accepting new patients | |
| Cigna Healthcare of Arizona, Inc | Current | Accepting new patients | |
| Honorhealth Medical Group, LLC | Family Medicine | Current | Accepting new patients |
| Honorhealth Medical Group, LLC | Family Medicine | Current | 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 | Past | Accepting new patients | |
| Faith Regional Physician Services, LLC | Family Medicine | Past | 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
- 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.
-
- Primary Care Clinic/Center
- Peoria, AZ
- NPI 1043851793
-
- Multi-Specialty Clinic/Center
- Peoria, AZ
- NPI 1518415397
-
- Multi-Specialty Clinic/Center
- Scottsdale, AZ
- NPI 1073626404
-
- Family Medicine Physician
- Scottsdale, AZ
- NPI 1285338343
-
- Family Medicine Physician
- Phoenix, AZ
- NPI 1659705382
-
- Family Medicine Physician
- Phoenix, AZ
- NPI 1578590303
-
- Family Medicine Physician
- Omaha, NE
- NPI 1548287907
-
- Family Medicine Physician
- Council Bluffs, IA
- NPI 1598811069
-
- Magnetic Resonance Imaging (MRI) Clinic/Center
- Minot Afb, ND
- NPI 1902852973
-
- Family Medicine Physician
- Norfolk, NE
- NPI 1265489157
-
- Anesthesiology Physician
- Norfolk, NE
- NPI 1275074577
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Sun City, AZ
- NPI 1023051927
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.