NPIMap

Individual provider Active NPI

Michael Joel Martinez, M.D.

  • Surgery Physician
  • McAllen, TX
National Provider Identifier
1811281140
Registry record updated Jun 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
P5679 Issued in TX
Practice address
533 Pecan Blvd
McAllen, TX 78501-2356
Phone
(956) 365-4400
Fax
(956) 365-4111
NPI assigned
Jun 3, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X P5679 TX Primary

Addresses

Primary practice location

533 Pecan Blvd
McAllen, TX 78501-2356

Mailing address

PO Box 5358
McAllen, TX 78502-5358
Phone (956) 362-5673

Other practice location 1

512 Victoria Ln Ste 2
Harlingen, TX 78550-3227
Phone (956) 365-4400

Other identifiers 1

IdentifierTypeStateIssuer
348256401MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150807015466 TX Practitioner - General Surgery 7719291459 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Yale University School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gastroenterology Consultants of South Texas, PLLCGroup PAC ID 3274624937, 42 clinicians

Practice addresses (Care Compare)

512 Victoria LN
Suite 2
Harlingen, TX 78550-3227
Phone (956) 365-4400

720 N 77 Sunshinestrip
Harlingen, TX 78550-8848
Phone (956) 365-4400

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux90

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Renaissance Gastroenterology PastSince Jul 1, 2015 Accepting new patients
Cardiovascular Care Providers, Inc. Past Accepting new patients
Columbia Rio Grande Healthcare, L.P. Past Accepting new patients
Columbia Valley Healthcare System, L.P. Past Accepting new patients

Organizations & group practices 5

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.

Hospital & facility affiliations 8

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": "1307059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655251200000",
    "number": "1811281140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5358",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785025358",
            "telephone_number": "956-362-5673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "533 PECAN BLVD",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785012356",
            "telephone_number": "956-365-4400",
            "fax_number": "956-365-4111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "512 Victoria Ln Ste 2",
            "address_purpose": "LOCATION",
            "city": "Harlingen",
            "state": "TX",
            "postal_code": "785503227",
            "country_code": "US",
            "telephone_number": "956-365-4400",
            "fax_number": "956-365-4111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "MICHAEL",
        "middle_name": "JOEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-03",
        "last_updated": "2022-06-15",
        "certification_date": "2022-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "P5679",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "348256401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McAllen, TX

Sources for this page

Verify at the official NPI Registry.