Active NPI
Jorge Ivan Martinez Osorio, M.D.
- Nephrology Physician
- El Paso, TX
National Provider Identifier
1730385576
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 51843-20
- Practice address
- 5005 N Piedras St
Nephrology Clinic
El Paso, TX 79920-5001 - Phone
- (915) 742-2603
- NPI assigned
- Jun 26, 2007
- Last updated
- Jun 22, 2018
- 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 |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 51843-20 | WI | Primary |
Addresses
Primary practice location
5005 N Piedras St
Nephrology Clinic
El Paso, TX 79920-5001
Mailing address
3704 Tierra Lisboa LN
El Paso, TX 79938-4383
Phone (210) 428-7697
Other practice location 1
3851 Roger Brooke Dr
MCHE-QD (Creds)
Fort Sam Houston, TX 78234-4501
Phone (210) 916-2460
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182816000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529625600000",
"number": "1730385576",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3704 TIERRA LISBOA LN",
"city": "EL PASO",
"state": "TX",
"postal_code": "799384383",
"telephone_number": "210-428-7697"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5005 N PIEDRAS ST",
"address_2": "NEPHROLOGY CLINIC",
"city": "EL PASO",
"state": "TX",
"postal_code": "799205001",
"telephone_number": "915-742-2603"
}
],
"practiceLocations": [
{
"address_1": "3851 Roger Brooke Dr",
"address_2": "MCHE-QD (Creds)",
"address_purpose": "LOCATION",
"city": "Fort Sam Houston",
"state": "TX",
"postal_code": "782344501",
"country_code": "US",
"telephone_number": "210-916-2460",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARTINEZ OSORIO",
"first_name": "JORGE",
"middle_name": "IVAN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-26",
"last_updated": "2018-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "WI",
"license": "51843-20",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in El Paso, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2018; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.