NPIMap

Individual provider Active NPI

Matthew A. Martin, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • San Antonio, TX
National Provider Identifier
1902080823
Registry record updated Aug 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
N2184 Issued in TX
Practice address
2311 Wilderness HL
San Antonio, TX 78231-1838
Phone
(210) 892-4775
NPI assigned
Dec 27, 2007
Last updated
Aug 30, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X MD438960 PA
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X N2184 TX Primary

Addresses

Primary practice location

2311 Wilderness HL
San Antonio, TX 78231-1838

Mailing address

2311 Wilderness HL
San Antonio, TX 78231-1838
Phone (210) 601-0591

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
I20120626000670 TX Practitioner - Pathology 2062537392 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
University of Texas Medical School at San Antonio, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pathology Associates of San Antonio, L.L.P.Group PAC ID 0648252155, 24 clinicians

Practice addresses (Care Compare)

333 N Santa Rosa
San Antonio, TX 78207-3108
Phone (210) 225-3750

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
76.1 of 100Reported as group
Quality
71.88
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD438960PAMDAnatomic Pathology & Clinical Pathology Physician
N2184TXMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pathology Associates of San Antonio, L.L.P. Anatomic Pathology & Clinical Pathology CurrentSince May 21, 2012 Accepting new patients

Locations

1020 S State Highway 16
Fredericksburg, TX 78624
Phone (830) 990-1555

1310 McCullough Ave
San Antonio, TX 78212
Phone (210) 208-2200

333 N Santa Rosa
San Antonio, TX 78207
Phone (210) 704-2190

519 W Houston St
Fl 3
San Antonio, TX 78207
Phone (210) 225-3750

9600 Datapoint Dr
San Antonio, TX 78229
Phone (210) 892-3700

Organizations & group practices 1

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 6

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": "1198713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314662400000",
    "number": "1902080823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2311 WILDERNESS HL",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782311838",
            "telephone_number": "210-601-0591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2311 WILDERNESS HL",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782311838",
            "telephone_number": "210-892-4775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "MATTHEW",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-27",
        "last_updated": "2011-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "PA",
            "license": "MD438960",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "TX",
            "license": "N2184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.