Individual provider Active NPI

Carlos Martinez Jr., MD

  • Family Medicine Physician
  • Bristow, VA
National Provider Identifier
1972648103
Registry record updated Apr 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101245937 Issued in VA
Practice address
10322 Bristow Center Dr
Bristow, VA 20136-2201
Phone
(571) 284-4245
Fax
(571) 364-8886
NPI assigned
Feb 21, 2007
Last updated
Apr 19, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0101245937 VA Primary

Addresses

Primary practice location

10322 Bristow Center Dr
Bristow, VA 20136-2201

Mailing address

PO Box 60447
Charlotte, NC 28260-0447

Other practice location 1

86 Harris Rd
Kilmarnock, VA 22482-3845
Phone (804) 435-2651

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cmartinez3855@soc.inova.org Health Information Exchange (HIE) Inova Health Care Services

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 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

Enrollment IDStateProvider typePAC IDDetails
I20090827000061 VA Practitioner - Family Practice 8325193337 Reassigns benefits to 6 organizations
I20110418000378 DC Practitioner - Family Practice 8325193337 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Tru Health Group PCGroup PAC ID 6406216183, 29 clinicians
Manbir Takhar PCGroup PAC ID 0749206951, 41 clinicians

Practice addresses (Care Compare)

1210 Wolf Rock Dr
Purcellville, VA 20132-5835
Phone (310) 428-1070

531 E Market St
Suite D
Leesburg, VA 20176-4116
Phone (301) 428-1070

7598 Telegraph Rd
Alexandria, VA 22315-3829
Phone (703) 778-0400

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101245937VAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Access P.C. CurrentSince Jan 24, 2024 Accepting new patients
Tru Health Group, PC CurrentSince Jan 24, 2024 Accepting new patients
Accessible Physician Home Care, LLC CurrentSince Jul 24, 2021 Accepting new patients
Tu Family Medical and Vision Clinic LLC CurrentSince Jan 1, 2022 Accepting new patients
Manbir Takhar, P.C. CurrentSince Jan 24, 2024 Accepting new patients
Uva Community Health Medical Group, LLC CurrentSince Mar 1, 2021 Accepting new patients
Millenium Medical Corp Family Medicine CurrentSince May 1, 2024 Accepting new patients
Uva Community Health Medical Group, LLC CurrentSince Mar 1, 2021 Accepting new patients
Inova Health Care Services Current Accepting new patients

Locations

12321 Middlebrook Rd
Ste 101
Germantown, MD 20874
Phone 3014281070260

12321 Middlebrook Rd
Ste 102
Germantown, MD 20874
Phone (301) 428-3192

526 N Henry St
Alexandria, VA 22314
Phone (703) 348-9110

7598 Telegraph Rd
Alexandria, VA 22315
Phone (703) 778-0400

10322 Bristow Center Dr
Bristow, VA 20136
Phone (571) 284-4230

6201 Centreville Rd
Ste 200
Centreville, VA 20121
Phone (703) 830-5600

24801 Pinebrook Rd
Ste 110
Chantilly, VA 20152
Phone (703) 722-2500

25031 Riding Plz
Ste 115
Chantilly, VA 20152

4105 Lewis and Clark Dr
Charlottesvle, VA 22911

2946 Sleepy Hollow Rd
Ste B
Falls Church, VA 22044
Phone (703) 417-9678

2990 Telestar Ct
Ste 3UC
Falls Church, VA 22042

1043 Sterling Rd
Ste 104
Herndon, VA 20170
Phone (703) 689-0111

224B Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894

531 E Market St
Ste D
Leesburg, VA 20176
Phone (301) 427-1070

6356 Hoadly Rd
Manassas, VA 20112
Phone (703) 590-5999

1210 Wolf Rock Dr
Purcellville, VA 20132
Phone (310) 428-1070

1231 Wolf Rock Dr
Ste 185
Purcellville, VA 20132

25031 Riding Plz
Ste 115B
South Riding, VA 20152
Phone (571) 267-2350

22000 Dulles Retail Plz
Sterling, VA 20166
Phone (703) 421-3322

22000 Dulles Retail Plz
Ste 132
Sterling, VA 20166
Phone (703) 962-4160

24430 Stone Springs Blvd
Ste 200
Sterling, VA 20166
Phone (571) 367-0000

13168 Centerpointe Way
Ste 101
Woodbridge, VA 22193
Phone (703) 730-2000

14520 Richmond Hwy
Woodbridge, VA 22191
Phone (703) 497-1234

Interoperability endpoints

  • Direct secure messaging: carlos.martinez.1@20907.direct.athenahealth.com
  • Direct secure messaging: carlos.martinez.1@3238.direct.athenahealth.com

Organizations & group practices 9

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": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618790400000",
    "number": "1972648103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60447",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10322 BRISTOW CENTER DR",
            "city": "BRISTOW",
            "state": "VA",
            "postal_code": "201362201",
            "telephone_number": "571-284-4245",
            "fax_number": "571-364-8886"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "86 Harris Rd",
            "address_purpose": "LOCATION",
            "city": "Kilmarnock",
            "state": "VA",
            "postal_code": "224823845",
            "country_code": "US",
            "telephone_number": "804-435-2651",
            "fax_number": "804-435-2302",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "CARLOS",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-21",
        "last_updated": "2021-04-19",
        "certification_date": "2021-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101245937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cmartinez3855@soc.inova.org",
            "affiliation": "Y",
            "endpointDescription": "Health Information Exchange",
            "affiliationName": "Inova Health Care Services",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "6201 Centreville Rd Ste 200",
            "city": "Centreville",
            "state": "VA",
            "country_code": "US",
            "postal_code": "201212626",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bristow, VA

Sources for this page

Verify at the official NPI Registry.