Individual provider Active NPI

Alexander John Martinez, M.D.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Scarborough, ME
National Provider Identifier
1205151750
Registry record updated May 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
MD27104 Issued in ME
Practice address
92 Campus Dr FL 1
Scarborough, ME 04074-7228
Phone
(207) 885-0011
Fax
(207) 885-5851
NPI assigned
Mar 27, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X ME 118705 FL
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X ME118705 FL
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X MD27104 ME Primary

Addresses

Primary practice location

92 Campus Dr FL 1
Scarborough, ME 04074-7228

Mailing address

92 Campus Dr FL 1
Scarborough, ME 04074-7228

Other practice location 1

6811 Porto Fino Cir
Fort Myers, FL 33912-4354
Phone (239) 431-4625

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
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
I20230918002424 ME Practitioner - Physical Medicine and RehabilitationPractitioner - Pain Management 4981821600 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and RehabilitationAlso: Pain Management
Education
New York Medical College, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MainehealthGroup PAC ID 7517860588, 2,616 clinicians
Select Physical Therapy Holdings IncGroup PAC ID 9537076401, shared by 76 NPIs, 1,992 clinicians

Practice addresses (Care Compare)

108 Centre St
Bath, ME 04530-2550

22 Bramhall St
Portland, ME 04102-3134
Phone (207) 885-9905

730 Ctr St
Auburn, ME 04210-6316
Phone (207) 783-3450

81 Medical Ctr Dr
Suite 2100
Brunswick, ME 04011-2771
Phone (207) 406-7070

92 Campus Dr
Scarborough, ME 04074-7229

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.93 of 100Reported as apm
Quality
83.31
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME 118705FLMDPain Medicine (Physical Medicine & Rehabilitation) Physician
ME118705FLMDPain Medicine (Physical Medicine & Rehabilitation) Physician
MD27104MEMDPain Medicine (Physical Medicine & Rehabilitation) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Maine Medical Partners CurrentSince Aug 15, 2023 Accepting new patients
Mainehealth CurrentSince Sep 5, 2023 Accepting new patients
Mainehealth Current Accepting new patients
Maine Medical Partners Current Accepting new patients
Maine Medical Partners Family CurrentSince Aug 15, 2023 Accepting new patients
Mainehealth CurrentSince Sep 5, 2023 Accepting new patients
Mainehealth Past Accepting new patients

Locations

108 Centre St
Ste 100
Bath, ME 04530
Phone (207) 406-7070

81 Medical Center Dr
Ste 2100
Brunswick, ME 04011
Phone (207) 373-6125

22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179

92 Campus Dr
Fl 1
Scarborough, ME 04074
Phone (207) 885-0011

1 Harnois Ave
Ste 1A
Westbrook, ME 04092
Phone (207) 662-1360

584 Roosevelt Trl
Windham, ME 04062
Phone (207) 892-3216

Interoperability endpoints

  • Direct secure messaging: amartinez@aocc1855.srs-direct.com
  • Direct secure messaging: amartinez599525@direct.mmc.mainehealth.org

Organizations & group practices 7

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.

Hospital & facility affiliations 39

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

View all 39

NPI Registry JSON

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

{
    "created_epoch": "1269648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716854400000",
    "number": "1205151750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "92 CAMPUS DR FL 1",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040747228",
            "fax_number": "207-885-5851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92 CAMPUS DR FL 1",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040747228",
            "telephone_number": "207-885-0011",
            "fax_number": "207-885-5851"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6811 Porto Fino Cir",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "339124354",
            "country_code": "US",
            "telephone_number": "239-431-4625",
            "fax_number": "239-316-3254",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "ALEXANDER",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-03-27",
        "last_updated": "2024-05-28",
        "certification_date": "2021-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "FL",
            "license": "ME 118705",
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "FL",
            "license": "ME118705",
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "ME",
            "license": "MD27104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scarborough, ME

Sources for this page

Verify at the official NPI Registry.