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DR. TANYA M MARTINEZ-FERNANDEZ M.D.
NPI 1275514135
Pediatrics - Pediatric Pulmonology in Dallas, TX

Active since November 08, 2005PECOS EnrolledAccepts Medicare Assignment
74.59/100
CMS Quality Rating
1935 MEDICAL DISTRICT DR, DALLAS, TX 75235(214) 456-4630 Get Directions Write a Review

NPPES record last updated: December 28, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Tanya M Martinez-fernandez M.d. NPPES

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

DR. TANYA M MARTINEZ-FERNANDEZ M.D. (NPI 1275514135) is an individual pediatric pulmonology provider in Dallas, Texas, licensed in Florida (ME90300) and active in the NPI registry since November 2005. She is enrolled in Medicare PECOS and is a graduate of University Of Puerto Rico School Of Medicine (1997).

NPPES Registry Identity

NPI1275514135
Entity TypeIndividualFemale
Primary Taxonomy2080P0214X
Provider Legal NameDR. TANYA M MARTINEZ-FERNANDEZCredential: M.D.
Location Address1935 MEDICAL DISTRICT DRDallas, TX 75235-7701
Mailing AddressPo Box 845347Dallas, TX 75284-5347
Phone(214) 456-4630
Sole ProprietorNo
Medical School CMSUniversity Of Puerto Rico School Of MedicineGraduated 1997
Enumeration DateNovember 8, 2005
Last NPPES UpdateDecember 28, 2011
✔ NPI 1275514135 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric PulmonologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0214X
License✔ Licensed in FL · ME90300
Definition
A pediatrician dedicated to the prevention and treatment of all respiratory diseases affecting infants, children and young adults. This specialist is knowledgeable about the growth and development of the lung, assessment of respiratory function in infants and children, and experienced in a variety of invasive and noninvasive diagnostic techniques.
1935 MEDICAL DISTRICT DR, Dallas, TX 75235
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Other Identifiers 3

Medicare ID-Type Unspecified44838ZFL
Medicaid270043300FL
Medicare UPINI15201FL

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. Tanya M Martinez-fernandez 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 ID3476520941
PECOS Enrollment IDI20070131000184
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

74.59/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality56.12
Promoting Interoperability100
Improvement Activities40
Cost59.2

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$21.30 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$119.41 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

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

TERESA ANNA JONES CPNP-AC
Nurse Practitioner (Pediatrics)
1935 MEDICAL DISTRICT DR
DALLAS, TX 75235
Dallas County (973) 801-0173
CASSIE ANN LAURENCE PA-C
Physician Assistant
1935 MEDICAL DISTRICT DR
DALLAS, TX 75235
Dallas County (214) 456-7000
MICHELE WILLET RYLANDER RN, MSN, CPNP
Nurse Practitioner (Pediatrics)
1935 MEDICAL DISTRICT DR
DALLAS, TX 75235
Dallas County (214) 456-7000
MR. ADAM CHRISTOPHER WENNER CPNP-AC
Nurse Practitioner (Pediatrics, Critical Care)
1935 MEDICAL DISTRICT DR
DALLAS, TX 75235
Dallas County (469) 303-7000
RICHARD DAVID SENTELLE D.M.D./PH.D.
Student in an Organized Health Care Education/Training Program
1935 MEDICAL DISTRICT DR, GRADUATE MEDICAL EDUCATION
DALLAS, TX 75235
Dallas County (214) 456-2735
KELSEY NICOLE BURKHART PA
Physician Assistant
1935 MEDICAL DISTRICT DR
DALLAS, TX 75235
Dallas County (214) 456-7000
RENAE JEAN WHITE MD
Student in an Organized Health Care Education/Training Program
1935 MEDICAL DISTRICT DR
DALLAS, TX 75235
Dallas County (214) 456-2735
VICTORIA LEE CPNP-AC/PC
Nurse Practitioner (Pediatrics)
1935 MEDICAL DISTRICT DR
DALLAS, TX 75235
Dallas County (214) 456-7000

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 Tanya Martinez-fernandez's NPI number?

The NPI number for Tanya Martinez-fernandez is 1275514135. It was assigned to this individual provider in the NPPES registry on November 8, 2005.

Where is Tanya Martinez-fernandez located?

Tanya Martinez-fernandez practices at 1935 Medical District Dr, Dallas, TX 75235. The listed phone number is (214) 456-4630.

What is Tanya Martinez-fernandez's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Pulmonology, with taxonomy code 2080P0214X.

Is Tanya Martinez-fernandez enrolled in Medicare?

Yes. Tanya Martinez-fernandez 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 Tanya Martinez-fernandez accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list Tanya Martinez-fernandez 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 Tanya Martinez-fernandez was last updated on December 28, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.