Carnaghi V. Martin, M.D.
Individual provider Active NPI Surgery Physician · Lake Arrowhead, CA
NPI 1346568599 · NPPES record last updated Sep 1, 2018
Key facts
- NPI
- 1346568599
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgery Physician 208600000X
- License
- A127474 (CA)
- Practice address
- 29099 Hospital Rd Suite 210
Lake Arrowhead, CA 92352 - Phone
- (909) 436-3033
- NPI assigned
- May 12, 2010
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 19
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- General Surgery
- Education
- Wayne State University School of Medicine, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Samuel Mahelona Memorial Hospital
San Bernardino Mountains Community Hospital District
Practice addresses (Care Compare)
4643 Waimea Canyon Dr
Waimea, HI 96796
Phone (808) 338-8311
PO Box
Lake Arrowhead, CA 92352
PO Box
Waimea, HI 96796
Hospital & facility affiliations
- Mountains Community Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.39 of 100
- Quality
- 79.9
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 82.23
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in CA, HI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20181212002200 | CA | Practitioner - General Surgery | 2668781733 | Reassigns benefits to 2 organizations |
| I20230105002274 | HI | Practitioner - General Surgery | 2668781733 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A127474 | CA | MD | Surgery Physician |
| TRN14682 | FL | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| San Bernardino Mountains Community Hospital District | Current | Accepting new patients | |
| San Bernardino Mountains Community Hospital District | Past | Accepting new patients | |
| The Outer Banks Hospital Inc | Past | Accepting new patients |
Locations
2642 Palo Alto Way
Running Springs, CA 92382
Phone (909) 867-3641
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | A127474 | CA | Yes |
| Surgery Physician | 208600000X | TRN14682 | FL |
Addresses
Primary practice location
29099 Hospital Rd Suite 210
Lake Arrowhead, CA 92352
Mailing address
29101 Hospital Rd
Lake Arrowhead, CA 92352-9706
Phone (909) 336-3651
Other providers in Lake Arrowhead, CA
- Renee F. Lewis
- Wei H Li
- Susie Loring
- Walter M Maier
- Martin Rocha MD Inc
- Carl J Melville II
- Samantha Danielle Merlos
- Leslie D Montano
- Mountain Anesthesia Care Inc
- Mountain Healthcare Inc
All providers in Lake Arrowhead, CA · Surgery Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 1, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.