NPIMap

Individual provider Active NPI

Mario A Martinez, M.D.

  • Specialist
  • Corpus Christi, TX
National Provider Identifier
1861401739
Registry record updated Mar 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
M3637 Issued in TX
Practice address
3829 Saratoga Blvd
Corpus Christi, TX 78415-5814
Phone
(361) 906-2121
Fax
(361) 906-2264
NPI assigned
Aug 7, 2006
Last updated
Mar 27, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 27, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X M3637 TX Primary

Addresses

Primary practice location

3829 Saratoga Blvd
Corpus Christi, TX 78415-5814

Mailing address

3829 Saratoga Blvd
Corpus Christi, TX 78415-5814
Phone (361) 906-2121

Other identifiers 1

IdentifierTypeStateIssuer
M3637OtherTXTEXAS MEDICAL LICENSE

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
I20061102000295 TX Practitioner - Internal Medicine 0547267619 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shea Physical Therapy Specialists LLCGroup PAC ID 6204245194, 194 clinicians

Practice addresses (Care Compare)

3829 Saratoga Blvd
Corpus Christi, TX 78415-5814
Phone (361) 906-2121

5440 Everhart Rd
Suite 1
Corpus Christi, TX 78411-4838
Phone (361) 994-5224

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Primary & Diagnostic Medical Centers of Texas CurrentSince Sep 1, 2006 Accepting new patients
Citizens Medical Center County of Victoria Past Accepting new patients
Primary and Diagnostic Medical Centers of Texas,LLC Past Accepting new patients

Locations

3829 Saratoga Blvd
Corpus Christi, TX 78415
Phone (361) 225-2624

4621 S Staples St
Corpus Christi, TX 78411
Phone (361) 654-0050

4914 Greenwood Dr
Corpus Christi, TX 78416
Phone (361) 906-2121

115 Northshore Blvd
Portland, TX 78374
Phone (361) 777-1777

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364342400000",
    "number": "1861401739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3829 SARATOGA BLVD",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784155814",
            "telephone_number": "361-906-2121",
            "fax_number": "361-906-2264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3829 SARATOGA BLVD",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784155814",
            "telephone_number": "361-906-2121",
            "fax_number": "361-906-2264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "MARIO",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-07",
        "last_updated": "2013-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "M3637",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS MEDICAL LICENSE",
            "identifier": "M3637",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

Verify at the official NPI Registry.