Individual provider Active NPI

Dennis Anthony Martinez, MD

  • Emergency Medicine Physician
  • South Lake Tahoe, CA
National Provider Identifier
1730169111
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
G72716 Issued in CA
Practice address
2170 South Ave
South Lake Tahoe, CA 96150-7026
Phone
(530) 541-3420
NPI assigned
Jan 20, 2006
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X G72716 CA Primary

Addresses

Primary practice location

2170 South Ave
South Lake Tahoe, CA 96150-7026

Mailing address

1111 Emerald Bay Rd
South Lake Tahoe, CA 96150-6207
Phone (530) 543-5659

Other practice location 1

3860 Saddle Rd
South Lake Tahoe, CA 96150-8673
Phone (530) 543-5575

Other practice location 2

1501-A Kirkwood Meadows Dr
Kirkwood, CA 95646
Phone (209) 258-7236

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NV2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040325001020 CA Practitioner - Emergency MedicinePractitioner - General Practice 9638061617 Reassigns benefits to 3 organizations
I20171226001587 NV Practitioner - Emergency Medicine 9638061617 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of California, Davis School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Grand Avenue Emergency Physicians Medical Group IncGroup PAC ID 7315206653, 13 clinicians

Practice addresses (Care Compare)

2215 Truxtun Ave
Bakersfield, CA 93301-3602
Phone (661) 632-5000

3186 S Maryland Pkwy
Las Vegas, NV 89109-2317
Phone (702) 731-8585

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.8 of 100Reported as individual
Quality
82.79
Improvement activities
40
Cost
76.18

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17564NVMDPharmacist
G72716CAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tahoe Emergency Physicians Medical Corporation Emergency Medicine CurrentSince Jun 20, 2017 Accepting new patients
Fremont Emergency Services Scherr LTD Emergency Medicine CurrentSince Apr 1, 2018 Accepting new patients
Fremont Emergency Services Scherr LTD Emergency Medicine CurrentSince Apr 1, 2018 Accepting new patients
Fremont Emergency Services Scherr LTD Emergency Medicine Current Accepting new patients
Sound Physicians Emergency Medicine of Nevada Bessler PLLC Emergency Medicine CurrentSince Apr 30, 2019 Accepting new patients
Edwards MD PC Emergency Medicine CurrentSince Dec 3, 2024 Accepting new patients
Solano Gateway Medical Group Inc Emergency Medicine CurrentSince Nov 4, 2019 Accepting new patients
Grand Avenue Emergency Physicians Medical Group Inc Emergency Medicine CurrentSince Jan 1, 2026 Accepting new patients
Emergency Physicians Medical Group, Inc Emergency Medicine Past Accepting new patients
Fremont Emergency Services Scherr LTD Emergency Medicine Past Accepting new patients
Bakersfield Emergency Medical Corp. Emergency Medicine Past Accepting new patients
Aw Pathology Medical Group, Inc. Past Accepting new patients

Locations

2215 Truxtun Ave
Bakersfield, CA 93301
Phone (661) 477-9283

400 Old River Rd
Bakersfield, CA 93311
Phone (661) 663-6000

1501 Kirkwood Meadows Dr
#A
Kirkwood, CA 95646
Phone (209) 258-6000

5000 Hopyard Rd
Ste 100
Pleasanton, CA 94588
Phone (480) 861-4015

225 N Jackson Ave
San Jose, CA 95116
Phone (408) 347-4051

2170 South Ave
South Lake Tahoe, CA 96150
Phone (530) 541-3420

3860 Saddle Rd
South Lake Tahoe, CA 96150
Phone (530) 543-5575

102 E Lake Mead Pkwy
Henderson, NV 89015
Phone (701) 564-2622

1155 Raiders Way
Henderson, NV 89052
Phone (702) 369-7671

10770 Las Vegas Blvd S
Las Vegas, NV 89183
Phone (702) 916-9004

3100 N Tenaya Way
Las Vegas, NV 89128
Phone (702) 225-5025

3186 S Maryland Pkwy
Las Vegas, NV 89109
Phone (702) 731-8000

3186 S Maryland Pkwy
Ste 410
Las Vegas, NV 89109

3325 S Fort Apache Rd
Las Vegas, NV 89117
Phone (702) 962-0500

9075 Blue Diamond Rd
Las Vegas, NV 89178
Phone (702) 916-5000

9300 W Sunset Rd
Las Vegas, NV 89148
Phone (702) 880-2100

7207 Aliante Pkwy
North Las Vegas, NV 89084
Phone (702) 962-5100

2375 E Prater Way
Sparks, NV 89434
Phone (775) 331-7000

Interoperability endpoints

  • Direct secure messaging: dennis.martinez.1@29622.direct.athenahealth.com

Organizations & group practices 12

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 4

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": "1137715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1730169111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 EMERALD BAY RD",
            "city": "SOUTH LAKE TAHOE",
            "state": "CA",
            "postal_code": "961506207",
            "telephone_number": "530-543-5659",
            "fax_number": "530-541-8723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2170 SOUTH AVE",
            "city": "SOUTH LAKE TAHOE",
            "state": "CA",
            "postal_code": "961507026",
            "telephone_number": "530-541-3420"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3860 Saddle Rd",
            "address_purpose": "LOCATION",
            "city": "South Lake Tahoe",
            "state": "CA",
            "postal_code": "961508673",
            "country_code": "US",
            "telephone_number": "530-543-5575",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1501-A Kirkwood Meadows Dr",
            "address_purpose": "LOCATION",
            "city": "Kirkwood",
            "state": "CA",
            "postal_code": "95646",
            "country_code": "US",
            "telephone_number": "209-258-7236",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "DENNIS",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-20",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "G72716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Lake Tahoe, CA

Sources for this page

Verify at the official NPI Registry.