NPIMap

Individual provider Active NPI

Elias Martinez, MD

  • General Practice Physician
  • Gainesville, FL
National Provider Identifier
1346342656
Registry record updated Oct 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ACN446 Issued in FL
Practice address
3600 NW 43Rd St
Ste A1
Gainesville, FL 32606-8138
Phone
(787) 363-3790
NPI assigned
Sep 5, 2006
Last updated
Oct 28, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 15572 PR
General Practice Physician 208D00000X ACN446 FL Primary

Addresses

Primary practice location

3600 NW 43Rd St
Ste A1
Gainesville, FL 32606-8138

Mailing address

PO Box 628
Lake Butler, FL 32054
Phone (787) 363-3790

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20140729000910 FL Practitioner - General Practice 3173554953 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Med Family Care PLLCGroup PAC ID 7113142795, 3 clinicians

Practice addresses (Care Compare)

3600 NW 43Rd St
Suite A1
Gainesville, FL 32606-8138
Phone (352) 872-5755

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15572PRMDClinical Social Worker
ACN446FLMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Med Family Care PLLC CurrentSince Apr 28, 2014 Accepting new patients
Los Angeles Medical Clinic Corp General Practice Past Accepting new patients
Los Angeles Medical Health Clinic Past Accepting new patients

Locations

3600 NW 43rd St
Ste D2
Gainesville, FL 32606
Phone (352) 225-3650

3600 NW 43rd St
Ste A1
Gainesville, FL 32606
Phone (352) 872-5755

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GBABBD/Endpoint/GBABBD

Organizations & group practices 3

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 8

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": "1157414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572220800000",
    "number": "1346342656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 628",
            "city": "LAKE BUTLER",
            "state": "FL",
            "postal_code": "32054",
            "telephone_number": "787-363-3790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 NW 43RD ST",
            "address_2": "STE A1",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326068138",
            "telephone_number": "787-363-3790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "ELIAS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-05",
        "last_updated": "2019-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "15572",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ACN446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

Verify at the official NPI Registry.