NPIMap

Individual provider Active NPI

Michael John Martino, PA-C

  • Physician Assistant
  • Cranston, RI
National Provider Identifier
1275507147
Registry record updated Feb 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA0144 Issued in RI
Practice address
1145 Reservoir Ave
Cranston, RI 02920-6055
Phone
(401) 942-6500
NPI assigned
Feb 15, 2006
Last updated
Feb 16, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA0144 RI Primary

Addresses

Primary practice location

1145 Reservoir Ave
Cranston, RI 02920-6055

Mailing address

1145 Reservoir Ave
Cranston, RI 02920-6055
Phone (401) 942-6500

Other practice location 1

100 Crossing Blvd Ste 300
Framingham, MA 01702-5555
Phone (888) 964-6681

Other identifiers 1

IdentifierTypeStateIssuer
1275507MedicaidRI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
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
I20070628000606 RI Practitioner - Physician Assistant 3476507609 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Yale University School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
HDC Care Solutions LLCGroup PAC ID 0345634770, 190 clinicians
Value Based Long Term Care H PCGroup PAC ID 4587104641, 145 clinicians
Medicine and Long Term Care Associates LLCGroup PAC ID 7012911399, 7 clinicians
James K. Cardi,M.D.,IncGroup PAC ID 2062592777, 3 clinicians

Practice addresses (Care Compare)

135 Dodge St
Providence, RI 02907-2210
Phone (888) 964-6681

333 Budlong Rd
Cranston, RI 02920-6337
Phone (401) 943-4530

677 Atwood Ave
Cranston, RI 02920-5322
Phone (401) 942-6500

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA0144RIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
HDC Care Solutions, LLC CurrentSince Feb 1, 2026 Accepting new patients
Healthdrive Medical Services Southeast LLC CurrentSince Feb 1, 2026 Accepting new patients
Healthwayri,Inc. PastSince Dec 5, 2017 Accepting new patients
Associates in Nutrition PastSince Jul 24, 2022 Accepting new patients

Locations

100 Crossing Blvd
Ste 300
Framingham, MA 01702
Phone (857) 255-0486

135 Dodge St
Providence, RI 02907
Phone (401) 383-5150

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 5

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": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771200000000",
    "number": "1275507147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1145 RESERVOIR AVE",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029206055",
            "telephone_number": "401-942-6500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1145 RESERVOIR AVE",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029206055",
            "telephone_number": "401-942-6500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Crossing Blvd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Framingham",
            "state": "MA",
            "postal_code": "017025555",
            "country_code": "US",
            "telephone_number": "888-964-6681",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTINO",
        "first_name": "MICHAEL",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-15",
        "last_updated": "2026-02-16",
        "certification_date": "2026-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "RI",
            "license": "PA0144",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1275507",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cranston, RI

Sources for this page

Verify at the official NPI Registry.