Individual provider Active NPI

Michelle M Leroux Martinez, AUD

  • Audiologist
  • Greensboro, NC
National Provider Identifier
1841716065
Registry record updated Feb 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
12754 Issued in NC
Practice address
1132 N Church St Ste 200
Greensboro, NC 27401-1040
Phone
(787) 702-5495
NPI assigned
Aug 18, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 12754 NC Primary

Addresses

Primary practice location

1132 N Church St Ste 200
Greensboro, NC 27401-1040

Mailing address

1132 N Church St Ste 200
Greensboro, NC 27401-1040
Phone (336) 702-5495

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180501001674 NC Practitioner - Qualified Audiologist 7618231549 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3824 N Elm St
Suite 201
Greensboro, NC 27455-2733
Phone (336) 542-2015

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12754NCMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Moses Cone Physician Services Inc CurrentSince Sep 23, 2024 Accepting new patients
Moses Cone Physician Services Inc Current Accepting new patients
Moses Cone Physician Services, Inc. CurrentSince Sep 23, 2024 Accepting new patients

Locations

3824 N Elm St
Ste 201
Greensboro, NC 27455
Phone (336) 542-2015

1002 N Church St
Ste 100
Greensboro, NC 27401
Phone (336) 275-6600

1107 S Main St
Reidsville, NC 27320
Phone (336) 348-6664

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1503014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518393600000",
    "number": "1841716065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1132 N CHURCH ST STE 200",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274011040",
            "telephone_number": "336-702-5495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1132 N CHURCH ST STE 200",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274011040",
            "telephone_number": "787-702-5495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEROUX MARTINEZ",
        "first_name": "MICHELLE",
        "middle_name": "M",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-18",
        "last_updated": "2018-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NC",
            "license": "12754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.