Individual provider Active NPI

Ana Laura Martinez-Tapia, MD

  • Gastroenterology Physician
  • Southampton, NY
National Provider Identifier
1225565864
Registry record updated Aug 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
324412 Issued in NY
Practice address
325 Meeting House Lane
BLDG 2 Suite 405
Southampton, NY 11968
Phone
(631) 283-5555
Fax
(631) 830-6845
NPI assigned
May 14, 2017
Last updated
Aug 29, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 324412 NY Primary

Addresses

Primary practice location

325 Meeting House Lane
BLDG 2 Suite 405
Southampton, NY 11968

Mailing address

4 Springville Rd Ste B
Hampton Bays, NY 11946-2290
Phone (631) 283-5555

Other practice location 1

518 Montauk Hwy Ste 102
Amagansett, NY 11930-2110
Phone (631) 267-5373

Other practice location 2

PO Box 1554
Stony Brook, NY 11790-0988
Phone (631) 444-9152

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20211104001849 FL Practitioner - Internal Medicine 3678833415 Reassigns benefits to 1 organization
I20240521001819 NY Practitioner - Gastroenterology 3678833415 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Meeting House Lane Medical Practice PCGroup PAC ID 6800972589, 125 clinicians

Practice addresses (Care Compare)

325 Meeting House LN
Southampton, NY 11968-5087
Phone (631) 283-5555

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy198
Upper gastrointestinal (GI) endoscopy for acid reflux122

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
324412NYMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital Medicine Services of FL, LLC CurrentSince Apr 1, 2023 Accepting new patients
Meeting House Lane Medical Practice PC Internal Medicine CurrentSince Jul 15, 2024 Accepting new patients
Stony Brook Surgical Associates, University Faculty Practice Corporati PastSince Jun 1, 2024 Accepting new patients
Martinez Tapia MD PA PastSince Sep 25, 2022 Accepting new patients

Locations

1700 S 23rd St
Fort Pierce, FL 34950
Phone (772) 461-4000

340 NW Commerce Dr
Lake City, FL 32055
Phone (386) 719-9000

2801 N State Road 7
Margate, FL 33063
Phone (954) 683-7041

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

1800 SE Tiffany Ave
Port St Lucie, FL 34952
Phone (772) 398-1969

4 Springville Rd
Ste B
Hampton Bays, NY 11946

325 Meeting House Ln
Ste 403
Southampton, NY 11968
Phone (631) 283-2100

325 Meeting House Ln
Ste 405
Southampton, NY 11968
Phone (631) 283-5555

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: ana.martineztapia.p1@direct.shproviders.nextgenshare.com

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.

Hospital & facility affiliations 6

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": "1494720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724889600000",
    "number": "1225565864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 SPRINGVILLE RD STE B",
            "city": "HAMPTON BAYS",
            "state": "NY",
            "postal_code": "119462290",
            "telephone_number": "631-283-5555",
            "fax_number": "631-830-6845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 MEETING HOUSE LANE",
            "address_2": "BLDG 2 SUITE 405",
            "city": "SOUTHAMPTON",
            "state": "NY",
            "postal_code": "11968",
            "telephone_number": "631-283-5555",
            "fax_number": "631-830-6845"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "518 Montauk Hwy Ste 102",
            "address_purpose": "LOCATION",
            "city": "Amagansett",
            "state": "NY",
            "postal_code": "119302110",
            "country_code": "US",
            "telephone_number": "631-267-5373",
            "fax_number": "631-267-5376",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "PO Box 1554",
            "address_purpose": "LOCATION",
            "city": "Stony Brook",
            "state": "NY",
            "postal_code": "117900988",
            "country_code": "US",
            "telephone_number": "631-444-9152",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTINEZ-TAPIA",
        "first_name": "ANA",
        "middle_name": "LAURA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-14",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "324412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southampton, NY

Sources for this page

Verify at the official NPI Registry.