Individual provider Active NPI

Melissa Marie Martin, MD

  • Family Medicine Physician
  • Laredo, TX
National Provider Identifier
1801232863
Registry record updated Jun 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
Q8914 Issued in TX
Practice address
7110 Rocio Dr Ste 10
Laredo, TX 78041-6674
Phone
(956) 396-0028
Fax
(956) 394-1145
NPI assigned
May 17, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 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 Q8914 TX Primary

Addresses

Primary practice location

7110 Rocio Dr Ste 10
Laredo, TX 78041-6674

Mailing address

7110 Rocio Dr Ste 10
Laredo, TX 78041-6674
Phone (956) 396-0028

Other practice location 1

1515 Pappas St
Laredo, TX 78041
Phone (956) 718-6259

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: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Mar 4, 2024 through Mar 4, 2028

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Texas a & M University System, HSC, College of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gateway Community Health Center IncGroup PAC ID 0941193510, shared by 11 NPIs, 22 clinicians

Practice addresses (Care Compare)

1515 Pappas St
Laredo, TX 78041-1705
Phone (956) 795-8100

Hospital & facility affiliations

National Provider Directory

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

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": "1368748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718323200000",
    "number": "1801232863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7110 ROCIO DR STE 10",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780416674",
            "telephone_number": "956-396-0028",
            "fax_number": "956-394-1145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7110 ROCIO DR STE 10",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780416674",
            "telephone_number": "956-396-0028",
            "fax_number": "956-394-1145"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1515 Pappas St",
            "address_purpose": "LOCATION",
            "city": "Laredo",
            "state": "TX",
            "postal_code": "78041",
            "country_code": "US",
            "telephone_number": "956-718-6259",
            "fax_number": "956-718-6294",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "MELISSA",
        "middle_name": "MARIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-17",
        "last_updated": "2024-06-14",
        "certification_date": "2024-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "Q8914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laredo, TX

Sources for this page

Verify at the official NPI Registry.