Individual provider Active NPI

Ray Boone Martin, MD

  • Anesthesiology Physician
  • Abilene, TX
National Provider Identifier
1972820835
Registry record updated Apr 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
P8698 Issued in TX
Practice address
1900 Pine St
Abilene, TX 79601-2432
Phone
(325) 670-4220
NPI assigned
Apr 30, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 21, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X BP1-0037937 TX
Anesthesiology Physician 207L00000X P8698 TX Primary

Addresses

Primary practice location

1900 Pine St
Abilene, TX 79601-2432

Mailing address

PO Box 1198
Abilene, TX 79604-1198
Phone (325) 670-4372

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
I20141013000856 TX Practitioner - Anesthesiology 5698995728 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Texas Medical Branch at Galveston, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hendrick Anesthesia Network 99 clinicians

Practice addresses (Care Compare)

1900 Pine St
Abilene, TX 79601-2432
Phone (325) 670-2000

Hospital & facility affiliations

  • Hendrick Medical Center Hospital, Abilene, TX, CCN 450229

Merit-based Incentive Payment System (MIPS)

Final score
43.93 of 100Reported as group
Quality
34.03
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
BP1-0037937TXMDAnesthesiology Physician
P8698TXMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hendrick Anesthesia Network CurrentSince Aug 1, 2014 Accepting new patients

Locations

1900 Pine St
Abilene, TX 79601
Phone (325) 670-4220

6250 US Highway 83
Abilene, TX 79606
Phone (325) 428-1010

6399 Directors Pkwy
Ste 100
Abilene, TX 79606
Phone (325) 794-5450

751 N 18th St
Abilene, TX 79601
Phone (915) 676-0557

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1272585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398038400000",
    "number": "1972820835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1198",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796041198",
            "telephone_number": "325-670-4372",
            "fax_number": "325-670-4040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 PINE ST",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796012432",
            "telephone_number": "325-670-4220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "RAY",
        "middle_name": "BOONE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-04-30",
        "last_updated": "2014-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "BP1-0037937",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "P8698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Abilene, TX

Sources for this page

Verify at the official NPI Registry.