Ileana Martinez (NPI# 1326032913, PAC ID# 3072578830) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEPHROLOGY.
Nation Provider ID (NPI) | 1326032913 |
PAC ID by PECOS | 3072578830 |
Professional Enrollment ID | I20041122000604 |
Full Name | Ileana Martinez |
Organization Legal Name | EL PASO KIDNEY SPECIALISTS PA |
Address |
11989 Pellicano Dr Suite C El Paso TX 79936-6288 |
Phone Number | 9158570700 |
Gender | F |
Credential | MD |
Graduation Year | 1991 |
Primary Specialty | NEPHROLOGY |
Secondary Specialties | INTERNAL MEDICINE |
Group Practice PAC ID | 6608866819 |
Number of Group Practice Members | 7 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
450107 | LAS PALMAS MEDICAL CENTER |
450002 | THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS |
450668 | THE HOSPITALS OF PROVIDENCE - SIERRA CAMPUS |
450024 | UNIVERSITY MEDICAL CENTER OF EL PASO |
Address | Phone | Organization |
---|---|---|
11989 Pellicano Dr, Suite C, El Paso, TX 79936-6288 | 9158570700 | EL PASO KIDNEY SPECIALISTS PA |
Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
---|---|---|---|
ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
Organization Legal Name | EL PASO KIDNEY SPECIALISTS PA |
Physicians | 7 |
Name | Specialty | Organization | Address |
---|---|---|---|
German T Hernandez | Nephrology | El Paso Kidney Specialists Pa | 1310 Murchison Dr, Suite 100, El Paso, TX 79902-4821 |
Ramesh Komaragiri | Nephrology | El Paso Kidney Specialists Pa | 1310 Murchison Dr, Suite 100, El Paso, TX 79902-4821 |
Jaime Gonzalez | Nephrology | El Paso Kidney Specialists Pa | 1310 Murchison Dr, Suite 100, El Paso, TX 79902-4821 |
Fernando Raudales | Nephrology | El Paso Kidney Specialists Pa | 1310 Murchison Dr, Suite 100, El Paso, TX 79902-4821 |
Jorge Serna | Nephrology | El Paso Kidney Specialists Pa | 1310 Murchison Dr, Suite 100, El Paso, TX 79902-4821 |
Simon S Rodriguez | Nephrology | El Paso Kidney Specialists Pa | 1310 Murchison Dr, Suite 100, El Paso, TX 79902-4821 |
Street Address |
11989 PELLICANO DR SUITE C |
City | EL PASO |
State | TX |
Zip | 79936-6288 |
Name | Specialty | Organization | Address |
---|---|---|---|
Manuel Alejandro Padilla Jr. | Family Medicine | Sun City Medical Clinic, P.a. | 1651 Joe Battle, El Paso, TX 79936 |
Maria I Padilla | Nurse Practitioner | Sun City Medical Clinic, P.a. | 1651 Joe Battle, El Paso, TX 79936 |
John Patterson | Family Medicine | 11680 Pebble Hills Blvd, Suite 109, El Paso, TX 79936-1091 | |
Lorenzo L Nichols Ii | Optometry | Gammoh Premier Vision LLC | 1830 Joe Battle Blvd, Suite 101, El Paso, TX 79936-1146 |
Hector Lopez | Family Medicine | 3130 N Lee Trevino Dr, Ste. 114, El Paso, TX 79936-2179 | |
Omar Gonzalez-camarena | Internal Medicine | 1715 Saul Kleinfeld Dr, El Paso, TX 79936-3706 | |
Vinson E Nance | Optometry | 11365 Montwood Dr, Suite D, El Paso, TX 79936-3867 | |
Jose A Barahona | Internal Medicine | 11355 Montwood Dr, Suite A, El Paso, TX 79936-3883 | |
Uzodinma Raphael Dim | Cardiovascular Disease (cardiology) | 2200 George Dieter Dr, El Paso, TX 79936-3915 | |
Shanker S Sundrani | Neurosurgery | 3028 Trawood Dr, Suite C, El Paso, TX 79936-3948 | |
Find all physicians in zip 79936 |
City | EL PASO |
Zip Code | 79936 |
Specialty | NEPHROLOGY |
City + Specialty | EL PASO + NEPHROLOGY |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.