MARTIN ALEJANDRO CHACON PORTILLO MD
NPI 1649769993
Hospitalist in Houston, TX

Q: What is Martin Chacon Portillo's NPI number?

The NPI number for Martin Chacon Portillo is 1649769993. It was assigned to this individual provider in the NPPES registry on May 2, 2018.

Q: What is Martin Chacon Portillo's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Active since May 02, 2018PECOS EnrolledAccepts Medicare Assignment

6411 FANNIN ST, HOUSTON, TX 77030(940) 594-7563 Get Directions Write a Review

NPPES record last updated: January 6, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 6, 2025, Jul 11, 2023, Jan 22, 2021 and 1 more (4 updates tracked since 2018).

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About Martin Alejandro Chacon Portillo Md NPPES

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

MARTIN ALEJANDRO CHACON PORTILLO MD (NPI 1649769993) is an individual hospitalist provider in Houston, Texas, licensed in Texas (U5366) and active in the NPI registry since May 2018. He is enrolled in Medicare PECOS, is affiliated with Memorial Hermann - Texas Medical Center, and maintains a secondary practice location in Houston.

NPPES Registry Identity

NPI1649769993

Entity TypeIndividualMale

Primary Taxonomy208M00000X

Provider Legal NameMARTIN ALEJANDRO CHACON PORTILLOCredential: MD

Location Address6411 FANNIN STHouston, TX 77030-1501

Mailing Address6410 Fannin St Ste 600Houston, TX 77030-5206 · (940) 594-7563 · Fax (713) 512-2242

Phone(940) 594-7563

Sole ProprietorYes

Medical School CMSOtherGraduated 2016

Enumeration DateMay 2, 2018

Last NPPES UpdateJanuary 6, 20254 updates tracked since enumeration

NPPES CertifiedJanuary 6, 2025

✔ NPI 1649769993 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians

Taxonomy Code208M00000X

License✔ Licensed in TX · U5366

Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Also ListedInternal MedicineTaxonomy 207R00000X · License 63503 (AZ), U5366 (TX)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

6411 FANNIN ST, Houston, TX 77030

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Secondary Practice Location 1

Location 16410 Fannin St Ste 600Houston, TX 77030-5206 · Phone (940) 594-7563 · Fax (713) 512-2242

Other Identifiers 1

OtherR76710AZ · Md/resident/temp License

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Community Health Choice, Molina Healthcare 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

Martin Alejandro Chacon Portillo Md 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 ID9133470032

PECOS Enrollment IDI20250110002337

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Memorial Hermann - Texas Medical Center

Acute Care Hospitals · Houston, TX

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450068

Location6411 FanninHouston, TX 77030 · Harris County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77030 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$134.06 typical visit price

range $58.24 – $176.98

Typical copayment $33.51 (range $14.56 – $44.24)

Most-billed visit code 99204

Established Patient

$102.71 typical visit price

range $18.60 – $143.93

Typical copayment $25.67 (range $4.65 – $35.98)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

HASHIM ZAIDI M.D.

Emergency Medicine