Individual provider Active NPI

Edwin R Martinez Mejias, MD

  • Cardiovascular Disease Physician
  • Orlando, FL
National Provider Identifier
1124115514
Registry record updated Oct 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
ME95229 Issued in FL
Practice address
7806 Lake Underhill Rd Ste 105
Orlando, FL 32822-8232
Phone
(407) 601-0888
Fax
(407) 601-0931
NPI assigned
Oct 6, 2006
Last updated
Oct 2, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X L3390 TX
Cardiovascular Disease Physician 207RC0000X ME95229 FL Primary

Addresses

Primary practice location

7806 Lake Underhill Rd Ste 105
Orlando, FL 32822-8232

Mailing address

483 N Semoran Blvd
Ste 102
Winter Park, FL 32792-3800
Phone (407) 571-1056

Other practice location 1

2239 North Blvd W
Davenport, FL 33837-8990
Phone (862) 419-1418

Other practice location 2

14501 Gatorland Dr
Orlando, FL 32837-6916
Phone (407) 931-0070

Other practice location 3

255 Citrus Tower Blvd Ste 101
Clermont, FL 34711-1906
Phone (352) 394-0893

Other practice location 4

483 N Semoran Blvd Ste 102
Winter Park, FL 32792-3800
Phone (407) 571-1056 ext. 5333

Other practice location 5

6200 Metrowest Blvd Ste 102
Orlando, FL 32835-7637
Phone (407) 294-5551

Other identifiers 4

IdentifierTypeStateIssuer
0038QROtherTXBCBS OF TEXAS
060070478OtherTXRAILROAD MEDICARE NUMBER
147494201MedicaidTX
8F4950OtherTXBCBS OF TEXAS

Other names 1

  • Edwin R Martinez Other name

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
I20090304000799 FL Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 9335166651 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
University Central del Caribe Escuela de Medicina, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Florida Cardiology PAGroup PAC ID 3678475993, 22 clinicians

Practice addresses (Care Compare)

483 N Semoran Blvd
Winter Park, FL 32792-3800
Phone (407) 645-1847

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME95229FLMDCardiovascular Disease Physician
L3390TXMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Hospital Medical Group Inc CurrentSince Jun 1, 2019 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Jun 1, 2019 Accepting new patients
Central Florida Cardiology Interpretations LLC CurrentSince Jan 1, 2016 Accepting new patients
Doctors of Clinical Specialties LLC Cardiovascular Disease PastSince May 1, 2018 Accepting new patients
Laredo Cardiology Center Cardiovascular Disease Past Accepting new patients
Clermont Ambulatory Surgical Center Past Accepting new patients

Locations

1210 US Highway 27 N
Lake Placid, FL 33852
Phone (863) 465-3777

2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700

1613 N Mills Ave
Orlando, FL 32803
Phone 40789444741145

601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996

1401 W Seminole Blvd
Sanford, FL 32771
Phone (317) 805-2316

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: edwin.martinez-mejias@flcard.directbygreenway.com

Organizations & group practices 7

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.

Hospital & facility affiliations 2

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": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569974400000",
    "number": "1124115514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "483 N SEMORAN BLVD",
            "address_2": "STE 102",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327923800",
            "telephone_number": "407-571-1056",
            "fax_number": "321-274-0322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7806 LAKE UNDERHILL RD STE 105",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328228232",
            "telephone_number": "407-601-0888",
            "fax_number": "407-601-0931"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2239 North Blvd W",
            "address_purpose": "LOCATION",
            "city": "Davenport",
            "state": "FL",
            "postal_code": "338378990",
            "country_code": "US",
            "telephone_number": "862-419-1418",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14501 Gatorland Dr",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328376916",
            "country_code": "US",
            "telephone_number": "407-931-0070",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "255 Citrus Tower Blvd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Clermont",
            "state": "FL",
            "postal_code": "347111906",
            "country_code": "US",
            "telephone_number": "352-394-0893",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "483 N Semoran Blvd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Winter Park",
            "state": "FL",
            "postal_code": "327923800",
            "country_code": "US",
            "telephone_number": "407-571-1056 x5333",
            "fax_number": "321-274-0322",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6200 Metrowest Blvd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328357637",
            "country_code": "US",
            "telephone_number": "407-294-5551",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTINEZ MEJIAS",
        "first_name": "EDWIN",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-06",
        "last_updated": "2019-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "L3390",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME95229",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TEXAS",
            "identifier": "0038QR",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE NUMBER",
            "identifier": "060070478",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "147494201",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TEXAS",
            "identifier": "8F4950",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EDWIN",
            "last_name": "MARTINEZ",
            "middle_name": "R",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.