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DR. JUAN CARLOS MARTINEZ GRULLON M.D.
NPI 1154589950
Surgery - Plastic and Reconstructive Surgery in Fort Worth, TX

Active since May 28, 2008PECOS EnrolledAccepts Medicare Assignment
1250 8TH AVE STE 265, FORT WORTH, TX 76104(682) 200-8580(682) 200-8581 Get Directions Write a Review

NPPES record last updated: October 28, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 28, 2022, Feb 23, 2022, Jan 26, 2022 and 5 more (8 updates tracked since 2016).

About Dr. Juan Carlos Martinez Grullon M.d. NPPES

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

DR. JUAN CARLOS MARTINEZ GRULLON M.D. (NPI 1154589950) is an individual plastic and reconstructive surgery provider in Fort Worth, Texas, licensed in Texas (T3999) and active in the NPI registry since May 2008. He is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1154589950
Entity TypeIndividualMale
Primary Taxonomy2086S0122X
Provider Legal NameDR. JUAN CARLOS MARTINEZ GRULLONCredential: M.D.
Location Address1250 8TH AVE STE 265Fort Worth, TX 76104-4124
Mailing Address1250 8th Ave, Ste 265Fort Worth, TX 76104-4124 · (682) 200-8580 · Fax (682) 200-8581
Phone(682) 200-8580
Fax(682) 200-8581
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateMay 28, 2008
Last NPPES UpdateOctober 28, 20228 updates tracked since enumeration
NPPES CertifiedOctober 28, 2022
✔ NPI 1154589950 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0122X
License✔ Licensed in TX · T3999
Definition
A surgeon who specializes in plastic and reconstructive surgery.
Also ListedPlastic SurgeryTaxonomy 208200000X · License MD448858 (PA), T3999 (TX)
1250 8TH AVE STE 265, Fort Worth, TX 76104
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Other Identifiers 1

Medicaid0182590OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Juan Carlos Martinez Grullon M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5496982852
PECOS Enrollment IDI20220221000322
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.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

THEODORE WILLIAM NAGEL MD
Surgery (Plastic and Reconstructive Surgery)
1250 8TH AVE STE 265
FORT WORTH, TX 76104
Tarrant County (682) 200-8580
SARAH A BLACK PHYSICIAN ASSISTANT
Physician Assistant
1250 8TH AVE STE 265
FORT WORTH, TX 76104
Tarrant County (682) 200-8580
JAMES H. BOEHMLER IV M.D.
Surgery (Plastic and Reconstructive Surgery)
1250 8TH AVE STE 265
FORT WORTH, TX 76104
Tarrant County (682) 200-8580
PLASTIC SURGERY ASSOCIATES PA
Surgery (Plastic and Reconstructive Surgery)
1250 8TH AVE STE 265
FORT WORTH, TX 76104
Tarrant County (682) 200-8580
NABIL ANTON HABASH MD
Surgery (Plastic and Reconstructive Surgery)
1250 8TH AVE STE 265
FORT WORTH, TX 76104
Tarrant County (682) 200-8580
KARI WICKLUND PA-C
Physician Assistant
1250 8TH AVE STE 265
FORT WORTH, TX 76104
Tarrant County (682) 200-8580

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 Juan Martinez Grullon's NPI number?

The NPI number for Juan Martinez Grullon is 1154589950. It was assigned to this individual provider in the NPPES registry on May 28, 2008.

Where is Juan Martinez Grullon located?

Juan Martinez Grullon practices at 1250 8th Ave Ste 265, Fort Worth, TX 76104. The listed phone number is (682) 200-8580.

What is Juan Martinez Grullon's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

Is Juan Martinez Grullon enrolled in Medicare?

Yes. Juan Martinez Grullon is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Juan Martinez Grullon accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 5 other insurers list Juan Martinez Grullon as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Juan Martinez Grullon was last updated on October 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.