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MR. LUIS ANIBAL DELGADILLO MARTINEZ M.D.
NPI 1073174454
Student in an Organized Health Care Education/Training Program in Jersey City, NJ

Active since June 26, 2019PECOS Enrolled
355 GRAND ST FL 1, JERSEY CITY, NJ 07302(201) 915-2431(201) 915-2219 Get Directions Write a Review

NPPES record last updated: July 14, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 14, 2022, Jul 7, 2022, Oct 16, 2019 (3 updates tracked since 2019).

About Mr. Luis Anibal Delgadillo Martinez M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. LUIS ANIBAL DELGADILLO MARTINEZ M.D. (NPI 1073174454) is an individual student in an organized health care education/training program in Jersey City, New Jersey and active in the NPI registry since June 2019. He is enrolled in Medicare PECOS and maintains a secondary practice location in Detroit.

NPPES Registry Identity

NPI1073174454
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMR. LUIS ANIBAL DELGADILLO MARTINEZCredential: M.D.
Location Address355 GRAND ST FL 1Jersey City, NJ 07302-4321
Mailing Address355 Grand St Fl 1Jersey City, NJ 07302-4321 · (201) 915-2431 · Fax (201) 915-2219
Phone(201) 915-2431
Fax(201) 915-2219
Sole ProprietorYes
Enumeration DateJune 26, 2019
Last NPPES UpdateJuly 14, 20223 updates tracked since enumeration
NPPES CertifiedJuly 14, 2022
✔ NPI 1073174454 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
355 GRAND ST FL 1, Jersey City, NJ 07302
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Secondary Practice Location 1

Location 16071 West Outer Drive, 4th Floor, M-408Detroit, MI 48235 · Phone (313) 966-3250 · Fax (313) 966-1738

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Luis Anibal Delgadillo Martinez M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Luis Delgadillo Martinez's NPI number?

The NPI number for Luis Delgadillo Martinez is 1073174454. It was assigned to this individual provider in the NPPES registry on June 26, 2019.

Where is Luis Delgadillo Martinez located?

Luis Delgadillo Martinez practices at 355 Grand St Fl 1, Jersey City, NJ 07302. The listed phone number is (201) 915-2431.

What is Luis Delgadillo Martinez's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Luis Delgadillo Martinez enrolled in Medicare?

Yes. Luis Delgadillo Martinez is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Luis Delgadillo Martinez was last updated on July 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.