NPIMap

Individual provider Active NPI

Nilsa Milagros Martinez, MD

  • Family Medicine Physician
  • Hilton, NY
National Provider Identifier
1215929187
Registry record updated Jun 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
202674 Issued in NY
Practice address
279 East Ave
Hilton, NY 14468-1333
Phone
(585) 392-9100
Fax
(585) 392-6292
NPI assigned
Aug 17, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 202674 NY Primary

Addresses

Primary practice location

279 East Ave
Hilton, NY 14468-1333

Mailing address

279 East Ave
Hilton, NY 14468-1333
Phone (585) 392-9100

Other identifiers 6

IdentifierTypeStateIssuer
000525840005OtherNYCOMMUNITY BLUE / WNY BCBS
5923565OtherNYAETNA
115976BFOtherNYPREFERRED CARE
P020202674OtherNYBLUE CROSS BLUE SHIELD
01770685MedicaidNY
P010202674OtherNYBLUE CHOICE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20040814000017 NY Practitioner - Family Practice 6204809601 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Boston University School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Churchville-Chili Family Medicine LLCGroup PAC ID 5294957874, 12 clinicians

Practice addresses (Care Compare)

4201 Buffalo Rd
Suite 1
North Chili, NY 14514-1256
Phone (585) 594-5995

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.62 of 100Reported as apm
Quality
74.51
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
202674NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Western New York Medical Practice P.C. Family Medicine CurrentSince Jun 1, 2019 Accepting new patients
Rochester General Hospital CurrentSince Jun 1, 2019 Accepting new patients
Churchville-Chili Family Medicine, LLC Family Medicine CurrentSince Oct 3, 2023 Accepting new patients
Cheryl Newman MD, PLLC Family Medicine CurrentSince Sep 5, 2010 Accepting new patients
Rochester General Hospital Family Medicine CurrentSince Jun 1, 2019 Accepting new patients
Internal Medicine at Lakeside Past Accepting new patients

Locations

279 East Ave
Hilton, NY 14468
Phone (585) 392-9100

4201 Buffalo Rd
Ste 1
North Chili, NY 14514
Phone (585) 594-5995

1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122

Interoperability endpoints

  • Direct secure messaging: drmartinez@ccfm.medentdirect.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 9

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": "1124236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560902400000",
    "number": "1215929187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "279 EAST AVE",
            "city": "HILTON",
            "state": "NY",
            "postal_code": "144681333",
            "telephone_number": "585-392-9100",
            "fax_number": "585-392-6292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "279 EAST AVE",
            "city": "HILTON",
            "state": "NY",
            "postal_code": "144681333",
            "telephone_number": "585-392-9100",
            "fax_number": "585-392-6292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "NILSA",
        "middle_name": "MILAGROS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-17",
        "last_updated": "2019-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "202674",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMUNITY BLUE / WNY BCBS",
            "identifier": "000525840005",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5923565",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED CARE",
            "identifier": "115976BF",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "P020202674",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01770685",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHOICE",
            "identifier": "P010202674",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilton, NY

Sources for this page

Verify at the official NPI Registry.