Active NPI
Lawrence P Martinelli, M.D.
- Infectious Disease Physician
- Lubbock, TX
National Provider Identifier
1740286269
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- J3849
- Practice address
- 4102 24TH St Ste 403
Lubbock, TX 79410-1804 - Phone
- (806) 725-7150
- Fax
- (806) 723-6136
- NPI assigned
- Jun 21, 2005
- 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 |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | J3849 | TX | Primary |
Addresses
Primary practice location
4102 24TH St Ste 403
Lubbock, TX 79410-1804
Mailing address
2215 Nashville Ave
Lubbock, TX 79410-1105
Phone (806) 725-5844
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000U5838 | Medicaid | NM | |
| 8CZ627 | Other | TX | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| J3849 | TX | MD | Infectious Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Consultants in Infectious Diseases | Infectious Disease | Past | Accepting new patients |
| Consultants in Infectious Diseases | Past | Accepting new patients |
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/0afb6793-ac40-40a5-8123-d13a308d2792/
- lawrence.martinelli@direct.myteamcare.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 and National Provider Directory roles.
-
- Infectious Disease Physician
- Lubbock, TX
- NPI 1578569893
-
- Infusion Therapy Clinic/Center
- Lubbock, TX
- NPI 1588997225
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1555027200000",
"number": "1740286269",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2215 NASHVILLE AVE",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794101105",
"telephone_number": "806-725-5844",
"fax_number": "806-723-6532"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4102 24TH ST STE 403",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794101804",
"telephone_number": "806-725-7150",
"fax_number": "806-723-6136"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINELLI",
"first_name": "LAWRENCE",
"middle_name": "P",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-21",
"last_updated": "2019-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "TX",
"license": "J3849",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000U5838",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "8CZ627",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lubbock, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.