Individual provider Active NPI

Jesus Alberto Martinez, M.D.

  • Ophthalmology Physician
  • Rockville, MD
National Provider Identifier
1902933286
Registry record updated Jan 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
D0041347 Issued in MD
Practice address
11300 Rockville Pike
Suite 1202
Rockville, MD 20852-3003
Phone
(301) 896-0890
Fax
(301) 896-0968
NPI assigned
Feb 27, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X MD18935 DC
Ophthalmology Physician 207W00000X D0041347 MD Primary

Addresses

Primary practice location

11300 Rockville Pike
Suite 1202
Rockville, MD 20852-3003

Mailing address

11300 Rockville Pike
Suite 1202
Rockville, MD 20852-3003
Phone (301) 896-0890

Other practice location 1

4301 Connecticut Ave NW Ste 125
Washington, DC 20008-2332
Phone (202) 362-4545

Other identifiers 2

IdentifierTypeStateIssuer
054782200MedicaidDC
850221800MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20100707000477 DC Practitioner - Ophthalmology 1355395773 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Georgetown University School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Visionary Ophthalmology LLCGroup PAC ID 4587795687, 17 clinicians

Practice addresses (Care Compare)

11300 Rockville Pike
Suite 1202
Rockville, MD 20852-3040
Phone (301) 896-0890

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery226

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD18935DCMDOphthalmology Physician
D0041347MDMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Visionary Ophthalmology LLC Single Specialty CurrentSince Jun 4, 1999 Accepting new patients
Palisades Ancillary Services, LLC Single Specialty Current Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

4301 Connecticut Ave NW
Ste 125
Washington, DC 20008
Phone (202) 362-4545

6410 Rockledge Dr
Ste 610
Bethesda, MD 20817
Phone (301) 530-9744

26135 Ridge Rd
Damascus, MD 20872
Phone (301) 253-6565

11300 Rockville Pike
Ste 1202
Rockville, MD 20852
Phone (301) 896-0890

Organizations & group practices 4

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": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704326400000",
    "number": "1902933286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11300 ROCKVILLE PIKE",
            "address_2": "SUITE 1202",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208523003",
            "telephone_number": "301-896-0890",
            "fax_number": "301-896-0968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11300 ROCKVILLE PIKE",
            "address_2": "SUITE 1202",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208523003",
            "telephone_number": "301-896-0890",
            "fax_number": "301-896-0968"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4301 Connecticut Ave NW Ste 125",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200082332",
            "country_code": "US",
            "telephone_number": "202-362-4545",
            "fax_number": "202-244-8028",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "JESUS",
        "middle_name": "ALBERTO",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-27",
        "last_updated": "2024-01-04",
        "certification_date": "2024-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "DC",
            "license": "MD18935",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MD",
            "license": "D0041347",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "054782200",
            "state": "DC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "850221800",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

Verify at the official NPI Registry.