Individual provider Active NPI

Michael David Martinez, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Bonita Springs, FL
National Provider Identifier
1285951210
Registry record updated Jun 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
ME 118296 Issued in FL
Practice address
27160 Bay Landing Dr Ste 200
Bonita Springs, FL 34135-4301
Phone
(239) 676-5665
Fax
(239) 221-3998
NPI assigned
Apr 30, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X ME 118296 FL Primary

Addresses

Primary practice location

27160 Bay Landing Dr Ste 200
Bonita Springs, FL 34135-4301

Mailing address

27160 Bay Landing Dr Ste 200
Bonita Springs, FL 34135-4301
Phone (239) 676-5665

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, FL2 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
I20140731002571 AL Practitioner - Anesthesiology 1951534445 Reassigns benefits to 1 organization
I20150901002943 FL Practitioner - Pain ManagementPractitioner - Anesthesiology 1951534445 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pain ManagementAlso: Anesthesiology
Education
University of South Florida College of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cora Health Services IncGroup PAC ID 1759290992, shared by 21 NPIs, 1,125 clinicians

Practice addresses (Care Compare)

20009 Verdana Village Blvd
Estero, FL 33928-9826
Phone (419) 221-6717

27160 Bay Landing Dr
Suite 200
Bonita Springs, FL 34135-4301
Phone 23967656654585

Hospital & facility affiliations

  • Trilogy Home Healthcare Home health agency, Estero, FL, CCN 108173
  • Lee Memorial Hospital Hospital, Fort Myers, FL, CCN 100012
  • Naples Community Hospital Hospital, Naples, FL, CCN 100018

Merit-based Incentive Payment System (MIPS)

Final score
82.75 of 100Reported as individual
Quality
68.63
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME 118296FLMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Alabama Health Services Foundation, PC. CurrentSince Jul 1, 2014 Accepting new patients
Pro Active Pain Care PA Pain Medicine CurrentSince Nov 7, 2018 Accepting new patients

Locations

619 19th St S
Birmingham, AL 35249

619 19th St S
Birmingham, AL 35233
Phone (205) 934-6405

27160 Bay Landing Dr
Ste 200
Bonita Springs, FL 34135
Phone (239) 676-5665

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20047/brand/1/csg/1/fhir/r4
  • Direct secure messaging: michael.martinez.1@20047.direct.athenahealth.com

Organizations & group practices 2

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 3

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": "1272585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560384000000",
    "number": "1285951210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27160 BAY LANDING DR STE 200",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341354301",
            "telephone_number": "239-676-5665",
            "fax_number": "239-221-3998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27160 BAY LANDING DR STE 200",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341354301",
            "telephone_number": "239-676-5665",
            "fax_number": "239-221-3998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "MICHAEL",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-30",
        "last_updated": "2019-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "FL",
            "license": "ME 118296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bonita Springs, FL

Sources for this page

Verify at the official NPI Registry.