Individual provider Active NPI

Kianfa Martinez-Lu, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Hialeah, FL
National Provider Identifier
1194848234
Registry record updated Jan 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
ME103812 Issued in FL
Practice address
7100 W 20TH Ave Ste 412
Hialeah, FL 33016-1811
Phone
(954) 322-1110
Fax
(954) 322-1099
NPI assigned
Apr 6, 2007
Last updated
Jan 24, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X ME103812 FL
Pain Medicine (Anesthesiology) Physician 207LP2900X 062556 GA
Pain Medicine (Anesthesiology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207LP2900X ME103812 FL Primary

Addresses

Primary practice location

7100 W 20TH Ave Ste 412
Hialeah, FL 33016-1811

Mailing address

13003 SW 42ND Ter
Miami, FL 33175-4005
Phone (786) 897-4420

Other practice location 1

7875 SW 104th St
Suite 201
Miami, FL 33156-2677
Phone (305) 270-7572

Other practice location 2

5258 Linton Blvd Ste 201
Delray Beach, FL 33484-6564
Phone (305) 946-1995

Other identifiers 1

IdentifierTypeStateIssuer
114843200MedicaidFL

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
I20101020000791 FL Practitioner - AnesthesiologyPractitioner - Pain Management 0941493142 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Pain Management
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
All Pro Medical Center PLLCGroup PAC ID 5991056095, 2 clinicians

Practice addresses (Care Compare)

1435 W 49TH PL
Suite 402
Hialeah, FL 33012-3147
Phone (954) 399-5976

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME103812FLMDAnesthesiology Physician
062556GAMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Miami Single Specialty Current Accepting new patients
All Pro Medical Center, PLLC. Single Specialty CurrentSince Oct 1, 2018 Accepting new patients
University of Miami CurrentSince Jan 1, 2020 Accepting new patients
Premier Pain and Wellness, LLC Single Specialty CurrentSince Sep 8, 2020 Accepting new patients

Locations

5258 Linton Blvd
Ste 201
Delray Beach, FL 33484
Phone (561) 496-0303

4800 NE 20th Ter
Ste 201
Ft Lauderdale, FL 33308
Phone (305) 892-4000

1435 W 49th Pl
Ste 402
Hialeah, FL 33012
Phone (305) 907-8526

7100 W 20th Ave
Ste 412
Hialeah, FL 33016
Phone (954) 322-1110

9900 Stirling Rd
Ste 101
Hollywood, FL 33024
Phone (954) 751-5588

1611 NW 12th Ave
Miami, FL 33136
Phone (305) 585-6226

1611 NW 12th Ave
#300
Miami, FL 33136
Phone (305) 585-6970

17779 SW 2nd St
Pembroke Pines, FL 33029
Phone (954) 322-1110

Networks

  • HealthSun Health Plans Network

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GEEEBD/Endpoint/GEEEBD
  • Direct secure messaging: kmartinezlu50179@direct.med.miami.edu

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674518400000",
    "number": "1194848234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13003 SW 42ND TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331754005",
            "telephone_number": "786-897-4420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7100 W 20TH AVE STE 412",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330161811",
            "telephone_number": "954-322-1110",
            "fax_number": "954-322-1099"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7875 SW 104th St",
            "address_2": "Suite 201",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331562677",
            "country_code": "US",
            "telephone_number": "305-270-7572",
            "fax_number": "305-270-6897",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5258 Linton Blvd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Delray Beach",
            "state": "FL",
            "postal_code": "334846564",
            "country_code": "US",
            "telephone_number": "305-946-1995",
            "fax_number": "305-946-1996",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTINEZ-LU",
        "first_name": "KIANFA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-06",
        "last_updated": "2023-01-24",
        "certification_date": "2023-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "ME103812",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "GA",
            "license": "062556",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "FL",
            "license": "ME103812",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114843200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

Verify at the official NPI Registry.