Active NPI
Martin R. Correa, MD
- Allergy & Immunology Physician
- Silver Spring, MD
National Provider Identifier
1255395620
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- License
- D0088565
- Practice address
- 10301 Georgia Ave Ste 306
Silver Spring, MD 20902-5020 - Phone
- (013) 681-9670
- Fax
- (301) 681-6055
- NPI assigned
- Apr 13, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | ME86090 | FL | |
| Allergy & Immunology Physician | 207K00000X | D0088565 | MD | Primary |
Addresses
Primary practice location
10301 Georgia Ave Ste 306
Silver Spring, MD 20902-5020
Mailing address
10301 Georgia Ave Ste 306
Silver Spring, MD 20902-5020
Phone (013) 681-9670
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 265729500 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME86090 | FL | MD | Allergy & Immunology Physician |
| D0088565 | MD | MD | Allergy & Immunology Physician |
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144886400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1585785600000",
"number": "1255395620",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10301 GEORGIA AVE STE 306",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209025020",
"telephone_number": "013-681-9670",
"fax_number": "301-681-6055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10301 GEORGIA AVE STE 306",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209025020",
"telephone_number": "013-681-9670",
"fax_number": "301-681-6055"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORREA",
"first_name": "MARTIN",
"middle_name": "R.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-13",
"last_updated": "2020-04-02",
"certification_date": "2020-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "207K00000X",
"taxonomy_group": "",
"desc": "Allergy & Immunology",
"state": "FL",
"license": "ME86090",
"primary": false
},
{
"code": "207K00000X",
"taxonomy_group": "",
"desc": "Allergy & Immunology",
"state": "MD",
"license": "D0088565",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "265729500",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Silver Spring, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.