Individual provider Active NPI

Maria Juliana Roca Martinez, MD

  • Internal Medicine Physician
  • Duluth, GA
National Provider Identifier
1205026648
Registry record updated Apr 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
059750 Issued in GA
Practice address
3215 McClure Bridge Rd
Duluth, GA 30096-3223
Phone
(678) 312-6000
Fax
(678) 312-6015
NPI assigned
Aug 1, 2007
Last updated
Apr 13, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 13, 2022

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 059750 GA Primary

Addresses

Primary practice location

3215 McClure Bridge Rd
Duluth, GA 30096-3223

Mailing address

1856 Thompson Bridge Rd Ste 5
Gainesville, GA 30501-1663
Phone (770) 539-3374

Other identifiers 8

IdentifierTypeStateIssuer
2815522OtherGAUHC
52206174OtherGABCBS
6488815OtherGACIGNA
406605OtherGAWELLCARE
792207484AMedicaidGA
9064068OtherGAAETNA
10077959OtherGAAMERIGROUP
792207484AOtherGAPEACH STATE

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL glancyrehab Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20070926001110 GA Practitioner - Internal MedicinePractitioner - Hospitalist 4587759246 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospitalist
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1856 Thompson Bridge Rd
Suite 5
Gainesville, GA 30501-1663
Phone (770) 538-6010

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medical Care Internal Medicine CurrentSince Dec 16, 2015 Accepting new patients

Locations

3215 McClure Bridge Rd
Duluth, GA 30096
Phone (678) 312-6000

1856 Thompson Bridge Rd
Ste 5
Gainesville, GA 30501
Phone (770) 538-6010

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 1

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

NPI Registry JSON

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

{
    "created_epoch": "1185926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649808000000",
    "number": "1205026648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1856 THOMPSON BRIDGE RD STE 5",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305011663",
            "telephone_number": "770-539-3374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3215 MCCLURE BRIDGE RD",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300963223",
            "telephone_number": "678-312-6000",
            "fax_number": "678-312-6015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROCA MARTINEZ",
        "first_name": "MARIA",
        "middle_name": "JULIANA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-01",
        "last_updated": "2022-04-13",
        "certification_date": "2022-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "059750",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC",
            "identifier": "2815522",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "52206174",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "6488815",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "406605",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "792207484A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "9064068",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "10077959",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PEACH STATE",
            "identifier": "792207484A",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "glancyrehab",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3215 McClure Bridge Rd",
            "city": "Duluth",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300963223",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Duluth, GA

Sources for this page

Verify at the official NPI Registry.