Active NPI
Edwin R Martinez Mejias, MD
- Cardiovascular Disease Physician
- Orlando, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- ME95229
- 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, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0038QR | Other | TX | BCBS OF TEXAS |
| 060070478 | Other | TX | RAILROAD MEDICARE NUMBER |
| 147494201 | Medicaid | TX | |
| 8F4950 | Other | TX | BCBS OF TEXAS |
Other names 1
- Edwin R Martinez
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- 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
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 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME95229 | FL | MD | Cardiovascular Disease Physician |
| L3390 | TX | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Hospital Medical Group Inc | Current | Accepting new patients | |
| Florida Hospital Medical Group Inc | Current | Accepting new patients | |
| Central Florida Cardiology Interpretations LLC | Current | Accepting new patients | |
| Doctors of Clinical Specialties LLC | Cardiovascular Disease | Past | 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
- 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.
-
- Cardiovascular Disease Physician
- Winter Park, FL
- NPI 1871543157
-
dba AdventHealth Medical Group
- Family Medicine Physician
- Orlando, FL
- NPI 1225034234
-
- Cardiology Technician
- Sanford, FL
- NPI 1780807412
-
dba Rothman Orthopaedics AdventHealth Medical Group at Minneola
- Prosthetic/Orthotic Supplier
- Minneola, FL
- NPI 1285591545
-
- Ambulatory Surgical Clinic/Center
- Clermont, FL
- NPI 1578508875
-
- Multi-Specialty Clinic/Center
- Winter Park, FL
- NPI 1144674607
Cardiovascular Disease
-
- Cardiovascular Disease Physician
- Laredo, TX
- NPI 1437330263
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba AdventHealth Orlando
- General Acute Care Hospital
- Orlando, FL
- NPI 1306938071
-
dba AdventHealth Orlando Outreach Laboratory
- Clinical Medical Laboratory
- Orlando, FL
- NPI 1801569728
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2019; 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.