Individual provider Active NPI

Michele L. Martinho, M.D

  • Internal Medicine Physician
  • New York, NY
National Provider Identifier
1184644122
Registry record updated Aug 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
237305 Issued in NY
Practice address
308A E 15TH St
New York, NY 10003-4001
Phone
(212) 420-6460
Fax
(646) 602-1091
NPI assigned
Jul 20, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 2, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 237305 NY Primary

Addresses

Primary practice location

308A E 15TH St
New York, NY 10003-4001

Mailing address

308A E 15TH St
New York, NY 10003-4001
Phone (212) 420-6460

Other identifiers 1

IdentifierTypeStateIssuer
02686895MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20051118000517 NY Practitioner - Internal Medicine 6709805781

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
237305NYMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280707200000",
    "number": "1184644122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308A E 15TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100034001",
            "telephone_number": "212-420-6460",
            "fax_number": "646-602-1091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308A E 15TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100034001",
            "telephone_number": "212-420-6460",
            "fax_number": "646-602-1091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINHO",
        "first_name": "MICHELE",
        "middle_name": "L.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-20",
        "last_updated": "2010-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "237305",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02686895",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.