JONATHAN MARTINEZ
NPI 1659753952
Pediatrics in Minot Afb, ND

Active since June 23, 2015PECOS Enrolled
10 MISSILE AVE, MINOT AFB, ND 58705(701) 723-5491(701) 723-5391 Get Directions Write a Review

NPPES record last updated: April 22, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 22, 2021, Apr 17, 2018 (2 updates tracked since 2018).

About Jonathan Martinez NPPES

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

JONATHAN MARTINEZ (NPI 1659753952) is an individual pediatrics provider in Minot Afb, North Dakota, licensed in Nebraska (29746) and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS and maintains a secondary practice location in Charleston.

NPPES Registry Identity

NPI1659753952
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameJONATHAN MARTINEZ
Location Address10 MISSILE AVEMinot Afb, ND 58705-5003
Mailing Address3551 Roger Brooke DrSan Antonio, TX 78234-4504 · (210) 916-0887
Fax(701) 723-5391
Sole ProprietorYes
Enumeration DateJune 23, 2015
Last NPPES UpdateApril 22, 20212 updates tracked since enumeration
NPPES CertifiedApril 22, 2021
NPI 1659753952 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in NE · 29746
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedSurgeryTaxonomy 208600000X · License 38529 (SC)
10 MISSILE AVE, Minot Afb, ND 58705

Secondary Practice Location 1

Location 1169 Ashley Ave, Room 202 Main Hospital MSC 333Charleston, SC 29425-8905 · Phone (843) 792-3072

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Jonathan Martinez 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 58705 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
$85.71 typical visit price
range $55.75 – $168.12
Typical copayment $21.42 (range $13.93 – $42.03)
Most-billed visit code 99203
Established Patient
$98.29 typical visit price
range $18.11 – $137.65
Typical copayment $24.57 (range $4.52 – $34.41)
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.

Nurse Practitioner (Women's Health)
10 MISSILE AVE
MINOT AFB, ND 58705
Physician Assistant
10 MISSILE AVE
MINOT AFB, ND 58705
Social Worker
10 MISSILE AVE
MINOT AFB, ND 58705
Psychologist (Counseling)
10 MISSILE AVE
MINOT AFB, ND 58705
Social Worker (Clinical)
10 MISSILE AVE
MINOT AFB, ND 58705
Physical Therapist
10 MISSILE AVE
MINOT AFB, ND 58705
General Practice
10 MISSILE AVE
MINOT AFB, ND 58705
Social Worker (Clinical)
10 MISSILE AVE
MINOT AFB, ND 58705

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 Jonathan Martinez's NPI number?

The NPI number for Jonathan Martinez is 1659753952. It was assigned to this individual provider in the NPPES registry on June 23, 2015.

Where is Jonathan Martinez located?

Jonathan Martinez practices at 10 Missile Ave, Minot Afb, ND 58705. The listed phone number is (701) 723-5491.

What is Jonathan Martinez's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Jonathan Martinez enrolled in Medicare?

Yes. Jonathan Martinez is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jonathan Martinez was last updated on April 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.