DR. MIGUEL JUAN MARTINEZ JR. M.D. NPI 1013091586
Allergy & Immunology in San Antonio, TX

About DR. MIGUEL JUAN MARTINEZ JR. M.D.

Miguel Martinez is a provider established in San Antonio, Texas and his medical specialization is Allergy & Immunology with more than 40 years of experience. He graduated from University Of Puerto Rico School Of Medicine in 1983. The NPI number of Miguel Martinez is 1013091586 and was assigned on October 2006. The practitioner's primary taxonomy code is 207K00000X with license number J4905 (TX). The provider is registered as an individual and his NPI record was last updated 3 years ago.

NPI
1013091586
Provider NameDR. MIGUEL JUAN MARTINEZ JR. M.D.
Location Address16675 HUEBNER RD STE 201 SAN ANTONIO, TX 78248
Location Phone(210) 314-5805
Mailing Address16675 HUEBNER RD STE 201 SAN ANTONIO, TX 78248
GenderMale
NPI Entity TypeIndividual
Medical School NameUNIVERSITY OF PUERTO RICO SCHOOL OF MEDICINE
Graduation Year1983
Is Sole Proprietor?Yes
Enumeration Date10-24-2006
Last Update Date02-13-2020

Miguel Martinez is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Miguel Martinez is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.



Primary Taxonomy

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Taxonomy Code207K00000X
ClassificationAllergy & Immunology
TypeAllopathic & Osteopathic Physicians
License No.J4905
License StateTX
Taxonomy DescriptionAn allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system.

Accepted Insurance

The NPI profile data indicates this provider might be enrolled and accepting insurance plans from the following companies or healthcare programs:

  • Blue Cross Blue Shield
  • Medicaid
  • Medicare

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Business Address

DR. MIGUEL JUAN MARTINEZ JR. M.D.
16675 HUEBNER RD STE 201
SAN ANTONIO, TX
ZIP 78248
Phone: (210) 314-5805
Fax: (210) 314-8626

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Mailing Address

DR. MIGUEL JUAN MARTINEZ JR. M.D.
16675 HUEBNER RD STE 201
SAN ANTONIO, TX
ZIP 78248
Phone: (210) 314-5805
Fax: (210) 314-8626


Secondary Locations

11515 Toepperwein Rd Ste 202
Live Oak, TX 78233
(210) 646-6978


Location Map

PECOS Enrollment and Medicare Participation Status

What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.

Registered in PECOS? Yes
PECOS PAC ID2163505371
PECOS Enrollment IDI20080212000151
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 299Preparation and provision of single or multiple antigens for allergen immunotherapy (HCPCS:95165)
  • 21Injection beneath the skin or into muscle for therapy, diagnosis, or prevention (HCPCS:96372)
  • 21Injection, methylprednisolone acetate, 40 mg (HCPCS:J1030)

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1207KA0200XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyAllergyJ4905TXNo

Taxonomy Description: Not Available

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
BM3847158OTHER (01)TXDEA RESGISTRATION
096812502MEDICAID (05)PR
096812504MEDICAID (05)TX
0065AYOTHER (01)TXBC/BS
C0085771OTHER (01)TXDPS

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1013091586
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2023092516
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 2 + 3 + 0 + 9 + 2 + 5 + 1 + 6 + 24 = 54
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 54 = 66

The NPI number 1013091586 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

What is Dr. Miguel Martinez JR. M.D. NPI number?

The NPI number assigned to Dr. Miguel Martinez JR. M.D. is 1013091586, registered as an "individual" on October 24, 2006

Where is Dr. Miguel Martinez JR. M.D. located?

The provider is located at 16675 Huebner Rd Ste 201 San Antonio, Tx 78248 and the phone number is (210) 314-5805

Which is Dr. Miguel Martinez JR. M.D. specialty?

The provider's speciality is Allergy & Immunology

How many years of experience does Dr. Miguel Martinez JR. M.D. have?

The provider has more than 40 years of experience. He graduated from University Of Puerto Rico School Of Medicine in 1983.

What insurance does Dr. Miguel Martinez JR. M.D. accept?

The provider might be accepting Blue Cross Blue Shield, Medicaid and Medicare. Please consult your insurance carrier or call the provider to make sure your insurance plan is currently accepted.

Is Dr. Miguel Martinez JR. M.D. registered in PECOS?

Yes, as of November 14, 2022 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a Medicare beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What are some of the services provided by Dr. Miguel Martinez JR. M.D.?

The most common procedures or services performed by this practitioner are: Preparation and provision of single or multiple antigens for allergen immunotherapy, Injection beneath the skin or into muscle for therapy, diagnosis, or prevention and Injection, methylprednisolone acetate, 40 mg.

How do I update my NPI information?

The NPI record of Dr. Miguel Martinez JR. M.D. was last updated on October 24, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected]
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us at: [email protected]