Individual provider Active NPI

William R Martin, M.D.

  • Diagnostic Radiology Physician
  • McAllen, TX
National Provider Identifier
1861571929
Registry record updated Sep 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
G9769 Issued in TX
Practice address
905 E Esperanza Ave
McAllen, TX 78501-1424
Phone
(956) 631-0124
Fax
(956) 631-1203
NPI assigned
Nov 2, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X G9769 TX Primary

Addresses

Primary practice location

905 E Esperanza Ave
McAllen, TX 78501-1424

Mailing address

905 E Esperanza Ave
McAllen, TX 78501-1424
Phone (956) 631-0124

Other identifiers 1

IdentifierTypeStateIssuer
163304201MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040303001107 TX Practitioner - Interventional RadiologyPractitioner - Diagnostic Radiology 3173410404 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Radiology
Education
University of Utah School of Medicine, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

905 E Esperanza Ave
McAllen, TX 78501-1424
Phone (956) 631-0124

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G9769TXMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Upper Valley Interventional Radiology Diagnostic Radiology CurrentSince Jan 1, 2003 Accepting new patients
Advanced Nuclear Imaging , Inc Past Accepting new patients

Locations

905 E Esperanza Ave
McAllen, TX 78501
Phone (956) 451-0661

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.

NPI Registry JSON

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316736000000",
    "number": "1861571929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 E ESPERANZA AVE",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785011424",
            "telephone_number": "956-631-0124",
            "fax_number": "956-631-1203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 E ESPERANZA AVE",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785011424",
            "telephone_number": "956-631-0124",
            "fax_number": "956-631-1203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "WILLIAM",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-02",
        "last_updated": "2011-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "G9769",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "163304201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McAllen, TX

Sources for this page

Verify at the official NPI Registry.