NPIMap

Individual provider Active NPI

Agustin Martinez, M.D.

  • General Practice Physician
  • Hialeah, FL
National Provider Identifier
1194762427
Registry record updated Apr 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ME82266 Issued in FL
Practice address
250 E 49TH St
Hialeah, FL 33013-1855
Phone
(305) 822-6885
Fax
(305) 825-9965
NPI assigned
Jun 2, 2006
Last updated
Apr 1, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 1, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X ME82266 FL Primary
Family Medicine Physician 207Q00000X ME82266 FL

Addresses

Primary practice location

250 E 49TH St
Hialeah, FL 33013-1855

Mailing address

1324 SW 143Rd Ave
Miami, FL 33184-3223
Phone (305) 822-6885

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081121000408 FL Practitioner - General Practice 1850395401 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Agustin Martinez M D P aGroup PAC ID 0840350716, 3 clinicians

Practice addresses (Care Compare)

250 E 49TH St
Hialeah, FL 33013-1855
Phone (305) 822-6885

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.86 of 100Reported as apm
Quality
85.37
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME82266FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Agustin Martinez M D P a CurrentSince Aug 1, 2008 Accepting new patients

Locations

250 E 49th St
Hialeah, FL 33013
Phone (305) 822-6885

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Medcare HospiceMiami, FL, CCN 101563 Hospice Contracted Managing Employee Aug 31, 2024

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 1

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 18

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364774400000",
    "number": "1194762427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1324 SW 143RD AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331843223",
            "telephone_number": "305-822-6885",
            "fax_number": "305-825-9965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 E 49TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330131855",
            "telephone_number": "305-822-6885",
            "fax_number": "305-825-9965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "AGUSTIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-02",
        "last_updated": "2013-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME82266",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME82266",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

Verify at the official NPI Registry.