Mitchell Martinez, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

ME161990 Issued in FL

Practice address

14551 Hope Center Loop Ste 100
Fort Myers, FL 33912-4705

Phone

(239) 936-2316

Fax

(239) 834-6106

NPI assigned

Mar 21, 2018

Last updated

Sep 9, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Diagnostic Radiology

Education

San Juan Bautista School of Medicine, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Radiology Regional Center P aGroup PAC ID 9638151756, 60 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

96.22 of 100Reported as group

Quality

95.56

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

• Freedom Health HMO Network

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

• Radiology Regional Center P a

  • Diagnostic Radiology Physician
  • Fort Myers, FL
  • NPI 1407809262
  Medicare reassignment Care Compare group NPD
• Mori Bean and Brooks Inc

  dba Coastal Vein Vascular Institute

  • Diagnostic Radiology Physician
  • Tampa, FL
  • NPI 1093782070
  Medicare reassignment NPD
• Radiology Regional Center, PA

  • Diagnostic Radiology Physician
  • Port Charlotte, FL
  • NPI 1013683838
  NPD (past)
• Radiology Regional Center, PA

  • Diagnostic Radiology Physician
  • Cape Coral, FL
  • NPI 1992471791
  NPD (past)
• Tower Imaging LLC

  dba TGH Imaging

  • Diagnostic Radiology Physician
  • Oldsmar, FL
  • NPI 1306352018
  NPD (past)
• Tower Imaging LLC

  dba TGH Imaging

  • Diagnostic Radiology Physician
  • Tampa, FL
  • NPI 1467654244
  NPD (past)

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

{
    "created_epoch": "1521590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725840000000",
    "number": "1033613328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3660 BROADWAY",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339018005",
            "telephone_number": "239-936-2316",
            "fax_number": "239-834-6106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14551 HOPE CENTER LOOP STE 100",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339124705",
            "telephone_number": "239-936-2316",
            "fax_number": "239-834-6106"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1431 SW 1st Ave Ste 7",
            "address_purpose": "LOCATION",
            "city": "Ocala",
            "state": "FL",
            "postal_code": "344716500",
            "country_code": "US",
            "telephone_number": "352-401-8311",
            "fax_number": "352-401-8313",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Tampa General Hospital",
            "address_2": "1 Tampa General Circle",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "33606",
            "country_code": "US",
            "telephone_number": "904-236-5884",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "MITCHELL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-21",
        "last_updated": "2024-09-09",
        "certification_date": "2024-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME161990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia Martinez
• Kerri Martinez
• Kimberly Martinez, RBT
• Leonalba Martinez
• Melanie Lynn Martinez, DNP, APNP, CPNP-PC
• Monica Martinez
• Roberto Martinez, MD
• Stephanie Martinez
• Yashira Nellie Martinez, BCBA
• Mary Alice MC Fad Martinie, R.N. F.A.

• Diagnostic Radiology Physician in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Diagnostic Radiology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.