Individual provider Active NPI

Ivette Santiago-Martir, M.D.

  • Family Medicine Physician
  • Orlando, FL
National Provider Identifier
1316966708
Registry record updated Jun 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
101957 Issued in WI
Practice address
4614 E Michigan St
Orlando, FL 32812-5233
Phone
(407) 720-3780
Fax
(407) 720-3781
NPI assigned
Jul 18, 2006
Last updated
Jun 11, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME65818 FL
Family Medicine Physician 207Q00000X 101957 WI Primary

Addresses

Primary practice location

4614 E Michigan St
Orlando, FL 32812-5233

Mailing address

4614 E Michigan St
Orlando, FL 32812-5233
Phone (407) 720-3780

Other identifiers 3

IdentifierTypeStateIssuer
014784300MedicaidFL
100283196MedicaidWI
ME65818OtherFLMEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, WI2 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
I20100629000219 FL Practitioner - Family Practice 6800927278 Reassigns benefits to 1 organization
I20240926000135 WI Practitioner - Family Practice 6800927278 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1259 S Pinellas Ave
Tarpon Springs, FL 34689-3719
Phone (727) 938-1908

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.02 of 100Reported as apm
Quality
85.37
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME65818FLMDFamily Medicine Physician
101957WIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wellmed Medical Management of Florida Inc Family Medicine CurrentSince May 15, 2025 Accepting new patients
Aurora Medical Group, Inc. CurrentSince Jul 20, 2024 Accepting new patients
Aurora Medical Group, Inc. Family Medicine Current Accepting new patients
Aurora Medical Group, Inc. CurrentSince Jul 20, 2024 Accepting new patients
Capital City Medical Group, L.L.C. Family Medicine Past Accepting new patients
Optumcare Florida Ci, LLC Past Accepting new patients

Locations

2940 S US Highway 1
Ste C11
Fort Pierce, FL 34982
Phone (407) 423-5178

1259 S Pinellas Ave
Tarpon Springs, FL 34689
Phone (727) 938-1908

8637 Fredericksburg Rd
Ste 360
San Antonio, TX 78240
Phone (210) 304-3500

1001 Service Rd
Kiel, WI 53042
Phone (920) 894-2636

1020 N 12th St
Milwaukee, WI 53233
Phone (414) 219-3056

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 6

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 2

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": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781136000000",
    "number": "1316966708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4614 E MICHIGAN ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328125233",
            "telephone_number": "407-720-3780",
            "fax_number": "407-720-3781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4614 E MICHIGAN ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328125233",
            "telephone_number": "407-720-3780",
            "fax_number": "407-720-3781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTIAGO-MARTIR",
        "first_name": "IVETTE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-18",
        "last_updated": "2026-06-11",
        "certification_date": "2026-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME65818",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "101957",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "014784300",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100283196",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "ME65818",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.