Individual provider Active NPI

Carlos Eliu Duran-Martinez, M.D

  • Nephrology Physician
  • Fort Lauderdale, FL
National Provider Identifier
1013229707
Registry record updated Mar 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
ME119578 Issued in FL
Practice address
407 SE 9TH St
Suite 103
Fort Lauderdale, FL 33316-1113
Phone
(954) 463-0112
Fax
(954) 463-0117
NPI assigned
Jul 9, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X ME119578 FL Primary

Addresses

Primary practice location

407 SE 9TH St
Suite 103
Fort Lauderdale, FL 33316-1113

Mailing address

407 SE 9TH St
Suite 103
Fort Lauderdale, FL 33316-1113
Phone (954) 463-0112

Other identifiers 1

IdentifierTypeStateIssuer
011906800MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140807002480 FL Practitioner - Nephrology 5799900981 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Florida Kidney Physicians LLCGroup PAC ID 4385925650, 167 clinicians

Practice addresses (Care Compare)

670 Glades Rd
Suite 110
Boca Raton, FL 33431-6462
Phone (561) 368-0235

Hospital & facility affiliations

  • DaVita Delray Dialysis Dialysis facility, Delray Beach, FL, CCN 102617
  • DaVita Bethesda Dialysis Dialysis facility, Boynton Beach, FL, CCN 682640
  • DaVita Boca Raton Artificial Kidney Center Dialysis facility, Boca Raton, FL, CCN 102520
  • DaVita Pinnacle Dialysis of Boca Raton Dialysis facility, Boca Raton, FL, CCN 102658
  • DaVita Interamerican Dialysis Center Dialysis facility, Miami, FL, CCN 102532
  • Delray Medical Center Hospital, Delray Beach, FL, CCN 100258
  • Bethesda Hospital East Hospital, Boynton Beach, FL, CCN 100002
  • Boca Raton Regional Hospital Hospital, Boca Raton, FL, CCN 100168

Merit-based Incentive Payment System (MIPS)

Final score
88.33 of 100Reported as group
Quality
70.52
Promoting interoperability
100
Improvement activities
40
Cost
73.91

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Kidney Physicians , LLC Nephrology CurrentSince Jan 14, 2020 Accepting new patients
Florida Kidney Physicians, LLC Nephrology CurrentSince Jan 14, 2020 Accepting new patients

Locations

7781 NW Beacon Square Blvd
Ste 201
Boca Raton, FL 33487
Phone (561) 989-9070

670 Glades Rd
Ste 110
Boca Raton, FL 33431
Phone (561) 289-9467

2655 W Atlantic Ave
Delray Beach, FL 33445
Phone (561) 279-2626

407 SE 9th St
Ste 103
Ft Lauderdale, FL 33316
Phone (954) 463-0112

1150 N 35th Ave
Ste 620
Hollywood, FL 33021
Phone (954) 612-8173

19056 NE 29th Ave
Miami, FL 33180
Phone (305) 354-4558

12662 Telecom Dr
Temple Terrace, FL 33637
Phone (813) 910-8708

Networks

  • FL HMO
  • FL HMO C-SNP
  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network
  • FL HMO D-SNP
  • FL PPO

Interoperability endpoints

  • Direct secure messaging: carlos.duran-martinez.1@15644.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/15644/brand/1/csg/1/fhir/r4

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1278633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425513600000",
    "number": "1013229707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 SE 9TH ST",
            "address_2": "SUITE 103",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333161113",
            "telephone_number": "954-463-0112",
            "fax_number": "954-463-0117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 SE 9TH ST",
            "address_2": "SUITE 103",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333161113",
            "telephone_number": "954-463-0112",
            "fax_number": "954-463-0117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURAN-MARTINEZ",
        "first_name": "CARLOS",
        "middle_name": "ELIU",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-09",
        "last_updated": "2015-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "FL",
            "license": "ME119578",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "011906800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.