Individual provider Active NPI

Jaime A Martinez, MD

  • Family Medicine Physician
  • Woodridge, IL
National Provider Identifier
1962713909
Registry record updated Aug 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036131315 Issued in IL
Practice address
3329 75TH St Ste 202
Woodridge, IL 60517-2700
Phone
(630) 646-6750
NPI assigned
Jun 24, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD207213 OR
Family Medicine Physician 207Q00000X 25IA13243700 NJ
Family Medicine Physician 207Q00000X 036131315 IL Primary

Addresses

Primary practice location

3329 75TH St Ste 202
Woodridge, IL 60517-2700

Mailing address

25425 Regent Blvd
Shorewood, IL 60404-2510

Other practice location 1

99 Beauvoir Ave
Summit, NJ 07901-3533
Phone (862) 415-0509

Other practice location 2

1919 NW Lovejoy St
Portland, OR 97209-1503
Phone (503) 414-5661

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20130813000246 IL Practitioner - Family PracticePractitioner - Peripheral Vascular Disease 4082856554 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Peripheral Vascular Disease
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Endeavor Health Medical GroupGroup PAC ID 2163334699, 3,330 clinicians

Practice addresses (Care Compare)

2650 Ridge Ave
Evanston, IL 60201-1700

Hospital & facility affiliations

  • Residential Home Health Home health agency, Lisle, IL, CCN 147568
  • Edward Hospital Hospital, Naperville, IL, CCN 140231
  • Elmhurst Memorial Hospital Hospital, Elmhurst, IL, CCN 140200
  • Swedish Hospital Hospital, Chicago, IL, CCN 140114

Merit-based Incentive Payment System (MIPS)

Final score
84.9 of 100Reported as group
Quality
75.91
Promoting interoperability
99
Improvement activities
40
Cost
74.6

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036131315ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vohra Wound Physicians of Il, S.C. Family Medicine CurrentSince Jun 28, 2021 Accepting new patients
Edward Health Ventures CurrentSince Aug 21, 2023 Accepting new patients
Edward Health Ventures CurrentSince Aug 21, 2023 Accepting new patients
Endeavor Health Medical Group CurrentSince Dec 13, 2023 Accepting new patients
Endeavor Health Medical Group Family Medicine CurrentSince Dec 13, 2023 Accepting new patients
Gibson Community Hospital Association Past Accepting new patients

Locations

9532 Eagle Way
Chicago, IL 60678

7370 W Talcott Ave
Chicago, IL 60631
Phone (312) 783-3348

2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222

2650 Ridge Ave
Ste 1223
Evanston, IL 60201
Phone (847) 982-3175

2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206

120 Spalding Dr
Ste 310
Naperville, IL 60540
Phone (630) 527-5575

120 Spalding Dr
Ste 101
Naperville, IL 60540
Phone (630) 527-7730

3329 75th St
Ste 202
Woodridge, IL 60517
Phone (630) 646-6750

3329 75th St
Woodridge, IL 60517
Phone (630) 646-6750

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/2474/brand/3/csg/81/fhir/r4
  • Direct secure messaging: jmartinez261247@direct.edward.org

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 and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1277337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785715200000",
    "number": "1962713909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25425 REGENT BLVD",
            "city": "SHOREWOOD",
            "state": "IL",
            "postal_code": "604042510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3329 75TH ST STE 202",
            "city": "WOODRIDGE",
            "state": "IL",
            "postal_code": "605172700",
            "telephone_number": "630-646-6750"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "99 Beauvoir Ave",
            "address_purpose": "LOCATION",
            "city": "Summit",
            "state": "NJ",
            "postal_code": "079013533",
            "country_code": "US",
            "telephone_number": "862-415-0509",
            "fax_number": "973-238-5104",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1919 NW Lovejoy St",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972091503",
            "country_code": "US",
            "telephone_number": "503-414-5661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "JAIME",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-24",
        "last_updated": "2026-08-03",
        "certification_date": "2026-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "MD207213",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25IA13243700",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036131315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodridge, IL

Sources for this page

Verify at the official NPI Registry.