Individual provider Active NPI

Mike Martinez, PA

  • Medical Physician Assistant
  • San Antonio, TX
National Provider Identifier
1861651960
Registry record updated Jul 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA01696 Issued in TX
Practice address
7622 Louis Pasteur Dr Ste 100
San Antonio, TX 78229-4019
Phone
(210) 614-7840
Fax
(210) 562-2252
NPI assigned
Jun 3, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA01696 TX Primary

Addresses

Primary practice location

7622 Louis Pasteur Dr Ste 100
San Antonio, TX 78229-4019

Mailing address

7622 Louis Pasteur Dr Ste 100
San Antonio, TX 78229-4019
Phone (210) 614-7840

Other practice location 1

3110 Nogalitos Ste 105
San Antonio, TX 78225-2337
Phone (210) 533-0257

Other identifiers 1

IdentifierTypeStateIssuer
TXB159254OtherWELLMED MEDICAL GROUP

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120815000775 TX Practitioner - Physician Assistant 4688820129 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Wellmed Medical Group PAGroup PAC ID 4880657386, 666 clinicians

Practice addresses (Care Compare)

6157 NW Loop 410
124 Wellmed at Ingram Park
San Antonio, TX 78238-3302
Phone (210) 523-1411

7622 Louis Pasteur Dr
Suite 100
San Antonio, TX 78229-4019
Phone (210) 614-7840

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Clinic of North Texas PLLC CurrentSince Jan 1, 2022 Accepting new patients
Wellmed Medical Group, PA CurrentSince Aug 22, 2011 Accepting new patients
Wellmed Medical Group, P.a. CurrentSince Aug 22, 2011 Accepting new patients
Medical Clinic of North Texas, PLLC CurrentSince Jan 1, 2022 Accepting new patients

Locations

900 Airport Fwy
Ste 158
Hurst, TX 76054
Phone (817) 514-4000

4001 W 15th St
Ste 245
Plano, TX 75093
Phone (972) 596-5222

4330 Medical Dr
Ste 500
San Antonio, TX 78229
Phone (210) 558-0122

8637 Fredericksburg Rd
Ste 360
San Antonio, TX 78240
Phone (210) 304-3500

6157 NW Loop 410
Ste 124
San Antonio, TX 78238
Phone (210) 523-1411

720 Pleasanton Rd
San Antonio, TX 78214

7622 Louis Pasteur Dr
Ste 201
San Antonio, TX 78229
Phone (210) 610-3859

14100 Nacogdoches Rd
Ste 116
San Antonio, TX 78247
Phone (210) 653-8989

430 W Sunset Rd
Ste 201
San Antonio, TX 78209
Phone (210) 824-4584

7622 Louis Pasteur Dr
Ste 100
San Antonio, TX 78229
Phone (210) 614-7840

Interoperability endpoints

  • Direct secure messaging: mike.martinez@wellmed.eclinicaldirectplus.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1212451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785110400000",
    "number": "1861651960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7622 LOUIS PASTEUR DR STE 100",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782294019",
            "telephone_number": "210-614-7840",
            "fax_number": "210-562-2252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7622 LOUIS PASTEUR DR STE 100",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782294019",
            "telephone_number": "210-614-7840",
            "fax_number": "210-562-2252"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3110 Nogalitos Ste 105",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782252337",
            "country_code": "US",
            "telephone_number": "210-533-0257",
            "fax_number": "210-533-0257",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "MIKE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-03",
        "last_updated": "2026-07-27",
        "certification_date": "2026-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA01696",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMED MEDICAL GROUP",
            "identifier": "TXB159254",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.