Antonio Eduardo Martin, M.D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

K9346 Issued in TX

Practice address

11801 S. Freeway
Huguley Memorial Hospital
Fort Worth, TX 76115

Phone

(817) 551-2743

NPI assigned

Apr 18, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in LA, TX2 enrollments

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 2

Specialty

Anesthesiology

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Zephyr Anesthesia LLCGroup PAC ID 1658559125, 161 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations (25 of 30)

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/4517c430-03bf-4e32-b324-1387cc4e73f3/

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.

• Zephyr Anesthesia, LLC

  • Anesthesiology Physician
  • La Place, LA
  • NPI 1891087458
  Medicare reassignment Care Compare group NPD
• Champion Anesthesia Consultants, PLLC

  • Anesthesiology Physician
  • Southlake, TX
  • NPI 1649676024
  Medicare reassignment NPD
• Jefferson Anesthesia Consultants

  • Anesthesiology Physician
  • Kenner, LA
  • NPI 1639816374
  Medicare reassignment NPD
• Pontchartrain Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Covington, LA
  • NPI 1497090740
  Medicare reassignment NPD
• Summit Anesthesia, Inc.

  • Anesthesiology Physician
  • Mandeville, LA
  • NPI 1225227556
  NPD
• Central Maine Medical Center

  • Community/Retail Pharmacy
  • Lewiston, ME
  • NPI 1033874458
  NPD (past)
• Central Maine Medical Center

  • General Acute Care Hospital
  • Lewiston, ME
  • NPI 1689653487
  NPD (past)
• Crescent City Anesthesia Services, LLC

  • Certified Registered Nurse Anesthetist
  • Metairie, LA
  • NPI 1205888484
  NPD (past)
• Parish Anesthesia of Jefferson, L.L.C

  • Anesthesiology Physician
  • Metairie, LA
  • NPI 1508054560
  NPD (past)
• Parish Anesthesia of Monroe, LLC

  • Anesthesiology Physician
  • Metairie, LA
  • NPI 1164474383
  NPD (past)
• Providence Health Services, Inc

  • Anesthesiology Physician
  • Washington, DC
  • NPI 1740795293
  NPD (past)
• The Capital City Anesthesia Group, LLC

  • Anesthesiology Physician
  • Baton Rouge, LA
  • NPI 1245282466
  NPD (past)

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

{
    "created_epoch": "1145318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579564800000",
    "number": "1902861644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8092 WINNERS CIR",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704487513",
            "telephone_number": "504-275-9555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11801 S. FREEWAY",
            "address_2": "HUGULEY MEMORIAL HOSPITAL",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "76115",
            "telephone_number": "817-551-2743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "ANTONIO",
        "middle_name": "EDUARDO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-18",
        "last_updated": "2020-01-21",
        "certification_date": "2020-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "K9346",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009910682",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00406138",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1153826",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alfredo L. Marti, M.D.
• Martin a. Derusha, Jr., D.O,, P.a.
• Alaina Martin, OTR
• Angela Martin, SLP-ASSISTANT
• Anna Martin, CTRS
• Baqi S. Martin, LCSW
• Barbara Dale Martin, RN
• Bonnie Ruth Martin, ANP
• Britney Martin, PA
• Bruce D Martin, MD

• Anesthesiology Physician in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Anesthesiology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.