Elsa Mercedes Martinez, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

64625 Issued in CT

Practice address

80 Phoenix Ave Ste 201
Waterbury, CT 06702-1418

Phone

(203) 756-8021

NPI assigned

May 5, 2016

Reactivated

Mar 30, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Elsa Mercedes Martinez Languasco Former name

Medicare fee-for-service enrollment

Enrolled in CT

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: elsa.martinez.p1@direct.nfpeds.nextgenshare.com
• Direct secure messaging: elsa.martinezlanguasco.1@10865.direct.athenahealth.com

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.

• Staywell Health Care, Inc.

  • Family Medicine Physician
  • Waterbury, CT
  • NPI 1154342335

  Pediatrics

  Medicare reassignment NPD
• Collier Health Services Inc

  • General Practice Physician
  • Immokalee, FL
  • NPI 1053526962
  NPD (past)
• Collier Health Services Inc

  • General Practice Physician
  • Immokalee, FL
  • NPI 1083421556
  NPD (past)
• Collier Health Services Inc

  • Federally Qualified Health Center (FQHC)
  • Immokalee, FL
  • NPI 1134331416
  NPD (past)
• Collier Health Services Inc

  • General Practice Physician
  • Naples, FL
  • NPI 1134334048

  Pediatrics

  NPD (past)
• Collier Health Services Inc

  • Federally Qualified Health Center (FQHC)
  • Immokalee, FL
  • NPI 1194919993
  NPD (past)
• Collier Health Services Inc

  • Federally Qualified Health Center (FQHC)
  • Immokalee, FL
  • NPI 1235946716
  NPD (past)
• Collier Health Services Inc

  • General Practice Physician
  • Immokalee, FL
  • NPI 1376738690
  NPD (past)
• Collier Health Services Inc

  • General Practice Physician
  • Naples, FL
  • NPI 1417774332
  NPD (past)
• Collier Health Services Inc

  • General Practice Physician
  • Naples, FL
  • NPI 1477229755
  NPD (past)
• Collier Health Services Inc

  • Federally Qualified Health Center (FQHC)
  • Immokalee, FL
  • NPI 1508079245
  NPD (past)
• Collier Health Services Inc

  • Federally Qualified Health Center (FQHC)
  • Immokalee, FL
  • NPI 1538976006
  NPD (past)

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

{
    "created_epoch": "1462406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588550400000",
    "number": "1144676438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 PHOENIX AVE STE 201",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067021418",
            "telephone_number": "203-756-8021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 PHOENIX AVE STE 201",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067021418",
            "telephone_number": "203-756-8021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "ELSA",
        "middle_name": "MERCEDES",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-05",
        "last_updated": "2020-05-04",
        "certification_date": "2020-05-04",
        "deactivation_date": "2017-01-05",
        "reactivation_date": "2017-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CT",
            "license": "64625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELSA",
            "last_name": "MARTINEZ LANGUASCO",
            "middle_name": "MERCEDES",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jocelyne Martin-Karam, APRN
• Alexander Richard Martin
• Emily Martin
• Georgia Martin
• Alejandro Martinez
• Faibel Martinez
• John N Martinez, LMFT
• Margarita Martinez
• Marisol R Martinez, BSW
• Michael Martinez

• Pediatrics Physician in Waterbury, CT
• Providers in Waterbury, CT by specialty
• Pediatrics Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.