Individual provider Active NPI

Angela Martini, MD

  • Dermatology Physician
  • San Antonio, TX
National Provider Identifier
1922662196
Registry record updated Nov 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
U2563 Issued in TX
Practice address
2241 NW Military Hwy Ste 200
San Antonio, TX 78213-4927
Phone
(210) 907-8346
Fax
(210) 906-8907
NPI assigned
Apr 23, 2019
Last updated
Nov 2, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X U2563 TX Primary

Addresses

Primary practice location

2241 NW Military Hwy Ste 200
San Antonio, TX 78213-4927

Mailing address

7703 Floyd Curl Dr
San Antonio, TX 78229-3901

Other practice location 1

3903 Wiseman Blvd Ste 302
San Antonio, TX 78251-4402
Phone (210) 907-8346

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
I20230705001391 TX Practitioner - Dermatology 0749649036 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Texas Tech University Health Science Center School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Skin and Vein PLLCGroup PAC ID 8628403243, 4 clinicians

Practice addresses (Care Compare)

2241 NW Military Hwy
Suite 200
San Antonio, TX 78213-4927
Phone (210) 916-2462

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions203
Skin biopsy131

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
U2563TXMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Skin & Vein, PLLC Dermatology CurrentSince Aug 1, 2023 Accepting new patients

Locations

2241 NW Military Hwy
Ste 200
San Antonio, TX 78213
Phone (210) 907-8346

3903 Wiseman Blvd
Ste 302
San Antonio, TX 78251
Phone (210) 614-5113

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.

NPI Registry JSON

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

{
    "created_epoch": "1555977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698883200000",
    "number": "1922662196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7703 FLOYD CURL DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2241 NW MILITARY HWY STE 200",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782134927",
            "telephone_number": "210-907-8346",
            "fax_number": "210-906-8907"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3903 Wiseman Blvd Ste 302",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782514402",
            "country_code": "US",
            "telephone_number": "210-907-8346",
            "fax_number": "210-906-8907",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTINI",
        "first_name": "ANGELA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-23",
        "last_updated": "2023-11-02",
        "certification_date": "2023-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "U2563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.